Mara Vijups, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARA VIJUPS, MD PC

Practice address

10 Crest Rd
Saint Albans, VT 05478-9701

Phone

(802) 524-6333

Fax

(802) 524-2692

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mara Vijups, M.D.

Title

Physician Owner

Phone

(802) 524-6333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1871627794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951332",
            "telephone_number": "802-524-8950",
            "fax_number": "802-524-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-524-6333",
            "fax_number": "802-524-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA VIJUPS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "VIJUPS",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "802-524-6333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1317",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.