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MARK ROBERT HEITZMAN M.D.
NPI 1790704401
Internal Medicine - Cardiovascular Disease in Berlin, VT

Active since July 19, 2006
130 FISHER RD, MOB-A SUITE 2-1, BERLIN, VT 05602(802) 225-5660(802) 229-2533 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Robert Heitzman M.d. NPPES

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

MARK ROBERT HEITZMAN M.D. (NPI 1790704401) is an individual cardiovascular disease provider in Berlin, Vermont, licensed in Vermont (042.0006618) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790704401
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK ROBERT HEITZMANCredential: M.D.
Location Address130 FISHER RD, MOB-A SUITE 2-1Berlin, VT 05602-9516
Mailing AddressPo Box 547, Central Vermont Medical Center-finance DeptBarre, VT 05641-0547 · (802) 225-5660 · Fax (802) 229-9533
Phone(802) 225-5660
Fax(802) 229-2533
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 4, 2014
✔ NPI 1790704401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VT · 042.0006618
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 420006618 (VT)
130 FISHER RD, Berlin, VT 05602
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Other Identifiers 7

Medicare PINVT5341VT
Medicare PINBX3998VT
Medicaid0005341VT
Medicare PINVT534101VT
Other060014973VT · Rail Road Medicare
OtherP01125405VT · Railroad Medicare Linked To Cvmc Mgp
Medicare UPINB85576VT

Other Providers at the Same Location NPPES 20

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

DAVID INDENBAUM MD
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4263
DEVIKA SINGH M.D.
Internal Medicine
130 FISHER RD, MOB-B SUITE 3
BERLIN, VT 05602
Washington County (802) 225-5400
CENTRAL VERMONT MEDICAL CENTER INC
Family Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
DR. RICHARD GERALD TAYLOR M.D.
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Washington County (802) 371-4100
MS. JESSICA LEIGH OLIVE PT
Physical Therapist
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-5909
BRETT ERDREICH
Internal Medicine (Pulmonary Disease)
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
JACQUELINE GALLAGHER PA
Physician Assistant
130 FISHER RD, EMERGENCY DEPT
BERLIN, VT 05602
Washington County (802) 371-4365
ROBERT R DAVIDSON PA-C
Physician Assistant
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 225-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Heitzman's NPI number?

The NPI number for Mark Heitzman is 1790704401. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Mark Heitzman located?

Mark Heitzman practices at 130 Fisher Rd Mob-A Suite 2-1, Berlin, VT 05602. The listed phone number is (802) 225-5660.

What is Mark Heitzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mark Heitzman was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.