Active NPIIndividual provider

Mark D Jewett, MD

Internal Medicine in Randolph, Vermont

NPI Number1518072040
Practice location
44 S Main St, Randolph, VT 05060-1381
Fax
802-728-2394
Last updated
July 9, 2007

Mark D. Jewett is an Internal Medicine based in Randolph, VT. Mark D. Jewett practices in Randolph, VT and has the professional credentials of MD. The NPI Number for Mark D. Jewett is 1518072040 and holds a License No. 0420005709 (VT). The current practice location address for Mark D. Jewett is 44 S Main St, Randolph, VT 05060-1381 and can be reached out via phone at 802-767-3704 and via fax at 802-728-2394.

Provider Profile Details

NPI Number
1518072040
Provider Name
Mark D. Jewett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
44 S Main St, Randolph, VT 05060-1381
Phone Number
802-767-3704
Fax Number
802-728-2394
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 S Main St
Randolph, VT 05060-1381
State
Vermont
Zip
05060-1381
Phone Number
802-767-3704
Fax Number
802-728-2394
Randolph, VT 05060Get directions →

Provider Business Mailing Address Details

Address
Po Box 2000
Randolph, VT 05060-2000
City
Randolph
State
VT
Zip
05060-2000
Phone Number
802-767-3704
Fax Number
802-728-2394

License Information

License Number
0420005709
License State
VT
Taxonomy
Internal Medicine · 207R00000X · Primary

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 Mark D Jewett, MD?

The NPI number of Mark D Jewett, MD is 1518072040. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark D Jewett, MD?

Mark D Jewett, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VT under license number 0420005709.

Where does Mark D Jewett, MD practice?

The practice location is 44 S Main St, Randolph, VT 05060-1381. The office can be reached at 802-767-3704 (phone) or 802-728-2394 (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 1518072040 directly on the NPPES registry website.

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