Active NPIIndividual provider

Dr. Mark D Charlson, MD

Orthopaedic Surgery, Foot and Ankle Surgery in South Burlington, Vermont

NPI Number1154374734
Practice location
192 Tilley Dr, South Burlington, VT 05403-4440
Fax
802-847-3797
Last updated
September 25, 2012

Mark David Charlson is an Orthopaedic Surgery, Foot and Ankle Surgery based in South Burlington, VT. Mark David Charlson practices in South Burlington, VT and has the professional credentials of MD. The NPI Number for Mark David Charlson is 1154374734 and holds a License No. 42-0011585 (VT). The current practice location address for Mark David Charlson is 192 Tilley Dr, South Burlington, VT 05403-4440 and can be reached out via phone at 802-847-2663 and via fax at 802-847-3797.

Provider Profile Details

NPI Number
1154374734
Provider Name
Mark David Charlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
192 Tilley Dr, South Burlington, VT 05403-4440
Phone Number
802-847-2663
Fax Number
802-847-3797
Primary Taxonomy
Orthopaedic Surgery, Foot and Ankle Surgery · 207XX0004X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2006
Last Update Date
September 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
192 Tilley Dr
South Burlington, VT 05403-4440
State
Vermont
Zip
05403-4440
Phone Number
802-847-2663
Fax Number
802-847-3797
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
192 Tilley Dr
South Burlington, VT 05403-4440
City
South Burlington
State
VT
Zip
05403-4440
Phone Number
802-847-2663
Fax Number
802-847-3797

License Information

License Number (1)
42-0011585
License State (1)
VT
Taxonomy (1)
Orthopaedic Surgery, Foot and Ankle Surgery · 207XX0004X · Primary
License Number (2)
200400468
License State (2)
NC
Taxonomy (2)
Orthopaedic Surgery · 207X00000X
License Number (3)
42-0011585
License State (3)
VT
Taxonomy (3)
Orthopaedic Surgery · 207X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark D Charlson, MD?

The NPI number of Dr. Mark D Charlson, MD is 1154374734. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark D Charlson, MD?

Dr. Mark D Charlson, MD is registered under the primary taxonomy Orthopaedic Surgery, Foot and Ankle Surgery (code 207XX0004X), licensed in VT under license number 42-0011585.

Where does Dr. Mark D Charlson, MD practice?

The practice location is 192 Tilley Dr, South Burlington, VT 05403-4440. The office can be reached at 802-847-2663 (phone) or 802-847-3797 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154374734 directly on the NPPES registry website.

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