Mark Levine, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42-0008661 Issued in VT

Practice address

87 Main St
Essex Junction, VT 05452-3234

Phone

(802) 847-8354

Fax

(802) 847-6575

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615

  Internal Medicine, VT

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790793214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DEER RUN DR",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827655",
            "telephone_number": "802-985-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523234",
            "telephone_number": "802-847-8354",
            "fax_number": "802-847-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "42-0008661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005419",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Lamothe
• Aliza R. Lamphere, PT, DPT
• Erick James Lattrell, LICSW
• Patrick Laughnane, PHARMD
• Patrick Leavey, DVM
• Bethany A. Lieberman, PSY.D.
• Lincare Inc.
• Lionheart Counseling, LLC
• Brooke Lockwood-Cole, LCMHC
• Katherine Elizabeth Logan, MD

• All providers in Essex Junction, VT
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.