- Practice location
- 130 Fisher RD, Mob-A Suite 2-1, Berlin, VT 05602-9516
- Phone
- 802-225-5660
- Fax
- 802-229-2533
- Last updated
- December 4, 2014
Mark Robert Heitzman is an Internal Medicine, Cardiovascular Disease based in Berlin, VT. Mark Robert Heitzman practices in Berlin, VT and has the professional credentials of MD. The NPI Number for Mark Robert Heitzman is 1790704401 and holds a License No. 420006618 (VT). The current practice location address for Mark Robert Heitzman is 130 Fisher RD, Mob-A Suite 2-1, Berlin, VT 05602-9516 and can be reached out via phone at 802-225-5660 and via fax at 802-229-2533.
Provider Profile Details
- NPI Number
- 1790704401
- Provider Name
- Mark Robert Heitzman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Fisher RD, Mob-A Suite 2-1, Berlin, VT 05602-9516
- Phone Number
- 802-225-5660
- Fax Number
- 802-229-2533
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- December 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Fisher RD
Mob-A Suite 2-1
Berlin, VT 05602-9516 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9516
- Phone Number
- 802-225-5660
- Fax Number
- 802-229-2533
Provider Business Mailing Address Details
- Address
- Po Box 547
Central Vermont Medical Center-Finance Dept
Barre, VT 05641-0547 - City
- Barre
- State
- VT
- Zip
- 05641-0547
- Phone Number
- 802-225-5660
- Fax Number
- 802-229-9533
License Information
- License Number (1)
- 420006618
- License State (1)
- VT
- Taxonomy (1)
- Internal Medicine, Interventional Cardiology · 207RI0011X
- License Number (2)
- 042.0006618
- License State (2)
- VT
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Cardiovascular Disease providers near Berlin, VT
View all Internal Medicine, Cardiovascular Disease providers in Berlin →- Ezra DemersStudent in an Organized Health Care Education/Training Program · NPI 1033075601
- Nicole ClarkPhysician Assistant · NPI 1720606130
- Max Hallett, DOInternal Medicine · NPI 1528596194
- Elizabeth M Diamond, LCMHCCounselor, Mental Health · NPI 1770355604
- Jedidiah P Danforth, BAStudent in an Organized Health Care Education/Training Program · NPI 1457266850
- Elizabeth GilhoolyPharmacist · NPI 1790607505
Frequently Asked Questions
What is the NPI number of Mark R Heitzman, MD?
The NPI number of Mark R Heitzman, MD is 1790704401. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark R Heitzman, MD?
Mark R Heitzman, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in VT under license number 420006618.
Where does Mark R Heitzman, MD practice?
The practice location is 130 Fisher RD, Mob-A Suite 2-1, Berlin, VT 05602-9516. The office can be reached at 802-225-5660 (phone) or 802-229-2533 (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 1790704401 directly on the NPPES registry website.