MARK LIVINGSTON JUTRAS MD - NPI 1093771792 - Obstetrics & Gynecology in Charlotte, NC

Q: What is Mark Jutras's NPI number?

The NPI number for Mark Jutras is 1093771792. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Q: What is Mark Jutras's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jutras was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mark Livingston Jutras Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LIVINGSTON JUTRAS MD (NPI 1093771792) is an individual reproductive endocrinology provider in Charlotte, North Carolina, licensed in North Carolina (2006-01581) and active in the NPI registry since April 2006. He maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1093771792

Entity TypeIndividualMale

Primary Taxonomy207VE0102X

Provider Legal NameMARK LIVINGSTON JUTRASCredential: MD

Location Address1918 RANDOLPH RD STE 210Charlotte, NC 28207-1109

Mailing Address1918 Randolph Rd Ste 210Charlotte, NC 28207-1109 · (704) 947-9000 · Fax (704) 992-1900

Phone(704) 947-9000

Fax(704) 992-1900

Sole ProprietorYes

Enumeration DateApril 22, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1093771792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

Licenses✔ Licensed in NC · 2006-01581✔ Licensed in FL · 54438

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

1918 RANDOLPH RD STE 210, Charlotte, NC 28207

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Secondary Practice Location 1

Location 1615 E Princeton St, Ste. 225Orlando, FL 32803-1456 · Phone (407) 896-7575 · Fax (407) 894-2692

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP, LLC

Pediatrics (Pediatric Gastroenterology)