Active NPI
Yvonne Mark, M.D., M.M.S.
- Family Medicine Physician
- Plainville, MA
National Provider Identifier
1366502973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D60825
- Practice address
- 60 Messenger St Ste 204
Plainville, MA 02762-2258 - Phone
- (508) 695-2099
- Fax
- (508) 695-5099
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 271154 | MA | |
| Family Medicine Physician | 207Q00000X | D60825 | MD | Primary |
Addresses
Primary practice location
60 Messenger St Ste 204
Plainville, MA 02762-2258
Mailing address
60 Messenger St Ste 204
Plainville, MA 02762-2258
Phone (508) 695-2099
Other practice location 1
3400 N Charles St
Jhu SHWC Amr2
Baltimore, MD 21218-2608
Phone (410) 516-8270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D60825 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health and Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student Health Clinic/Center
- Baltimore, MD
- NPI 1669699922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366502973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MESSENGER ST STE 204",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027622258",
"telephone_number": "508-695-2099",
"fax_number": "508-695-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MESSENGER ST STE 204",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027622258",
"telephone_number": "508-695-2099",
"fax_number": "508-695-5099"
}
],
"practiceLocations": [
{
"address_1": "3400 N Charles St",
"address_2": "JHU SHWC AMR2",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212182608",
"country_code": "US",
"telephone_number": "410-516-8270",
"fax_number": "410-516-4784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARK",
"first_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "M.D., M.M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "271154",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D60825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.