Organization provider

MARK E LOGAN MD PC

CMS NPPES lists MARK E LOGAN MD PC as an organization provider record with NPI 1003117078. The current record reports a primary practice location in RUTLAND, VT and primary taxonomy code 207RA0401X.

NPI 1003117078Record type Type 2Primary taxonomy 207RA0401X

Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile

01

Other reported names

  • Green Mountain Family MedicineDoing-business-as name

02

Practice locations

  1. Primary practice location
    199 STRATTON RDRUTLAND, VT 057014621

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

03

Taxonomy information

  • 207RA0401XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

04

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
November 8, 2010

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.