Organization Active NPI

Mark a Healey MD PC

  • Surgery Physician
  • Colchester, VT
National Provider Identifier
1881686533
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Sep 20, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DD8475OtherVTRR MEDICARE
1009516MedicaidVT

Other names 1

  • Mountainview Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.