Active NPI
Mark a Healey MD PC
- Surgery Physician
- Colchester, VT
National Provider Identifier
1881686533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MARK A HEALEY MD PC
- Practice address
- 308 Blakely Rd
Suite 100
Colchester, VT 05446-3901 - Phone
- (802) 658-5600
- Fax
- (802) 658-5605
- NPI assigned
- Aug 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark A Healey, MD
- Title
- Owner
- Phone
- (802) 658-5606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | VT | Primary |
Addresses
Primary practice location
308 Blakely Rd
Suite 100
Colchester, VT 05446-3901
Mailing address
308 Blakely Rd
Suite 100
Colchester, VT 05446-3901
Phone (802) 658-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD8475 | Other | VT | RR MEDICARE |
| 1009516 | Medicaid | VT |
Other names 1
- Mountainview Surgery
National Provider Directory
National Provider DirectoryLocations
308 Blakely Rd
#100
Colchester, VT 05446
Phone (802) 658-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316476800000",
"number": "1881686533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 BLAKELY RD",
"address_2": "SUITE 100",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054463901",
"telephone_number": "802-658-5600",
"fax_number": "802-658-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 BLAKELY RD",
"address_2": "SUITE 100",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054463901",
"telephone_number": "802-658-5600",
"fax_number": "802-658-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A HEALEY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2011-09-20",
"status": "A",
"authorized_official_last_name": "HEALEY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-658-5606",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD8475",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009516",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountainview Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.