MARK LIVINGSTON JUTRAS


Address: 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109
Phone: 7049479000

MARK LIVINGSTON JUTRAS (NPI# 1093771792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093771792
Entity Type Individual
Full Name MARK LIVINGSTON JUTRAS
Credential MD
Practice Address 1918 Randolph Rd Ste 210
Charlotte
NC 28207-1109
Practice Telephone 7049479000
Practice Fax Number 7049921900
Mailing Telephone 7049479000
Mailing Fax Number 7049921900
Enumeration Date 2006-04-22
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
2006-01581 NC Allopathic & Osteopathic Physicians
N 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
54438 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
615 E Princeton St, Ste. 225, Orlando, FL 328031456 4078967575 4078942692

Office Location

Street Address 1918 RANDOLPH RD STE 210
City CHARLOTTE
State NC
Zip Code 28207-1109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427565696 Advanced Reproductive Concepts, Pllc Obstetrics & Gynecology 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109 2018-01-09
1700809035 Matrika D. Johnson Obstetrics & Gynecology 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457986937 Carolinas Fertility Institute Obstetrics & Gynecology 2614 E 7th St Ste C, Charlotte, NC 28204-4397 2020-03-05
1639254345 Seth Katz Obstetrics & Gynecology 1524 East Morehead Street, Charlotte, NC 28207 2006-10-25
1528669710 Care Fertility Pllc Obstetrics & Gynecology 1524 E Morehead St, Charlotte, NC 28207-1606 2020-11-04
1427565696 Advanced Reproductive Concepts, Pllc Obstetrics & Gynecology 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109 2018-01-09
1548693872 Carolinas Medical Center Obstetrics & Gynecology 1025 Morehead Medical Dr, Suite 525, Charlotte, NC 28204-2963 2013-08-09
1194991463 Tolga Mesen Obstetrics & Gynecology 200 Hawthorne Ln, Charlotte, NC 28204-2515 2008-05-06
1588830822 Lauren Noelle Collins Johnson Obstetrics & Gynecology 1524 E Morehead St, Charlotte, NC 28207-1606 2008-05-06
1700809035 Matrika D. Johnson Obstetrics & Gynecology 1918 Randolph Rd Ste 210, Charlotte, NC 28207-1109 2006-07-26
1619992740 Michelle Matthews Obstetrics & Gynecology 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 2006-07-12
1255337069 Gordon Bruce Kuttner Obstetrics & Gynecology 3325 Springbank Ln, Ste 300, Charlotte, NC 28226-3364 2005-06-27
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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