Mark Yorra

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0006066 Issued in VT

Legal business name

MARK YORRA

Doing business as

Granite City Medical Assoc

Practice address

30 Keith Ave
Barre, VT 05641-3729

Phone

(802) 479-2546

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Mark Yorra

Title

M.D.

Phone

(802) 479-2546

Specialties & licenses 1

Addresses

Other names 1

• Granite City Medical Assoc Doing business as

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1902132608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KEITH AVE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KEITH AVE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413729",
            "telephone_number": "802-479-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK YORRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "YORRA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "802-479-2546"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0006066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite City Medical Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilona Lugowska, ABA
• Henry Lumbra
• Adrienne Selene Lutschg, LCMHC
• Ngoc Luzardo, M.S. CMHC, HHP
• Carla S. Manning, RN, CDDN
• Loren Marshall
• Martins Foods of South Burlington LLC
• Logan Matton, HS
• Elizabeth N Mauntler, PT
• Johnathan Maxfield

• Internal Medicine Physician in Barre, VT
• Providers in Barre, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.