MARK L. JUTRAS MD – NPI #1093771792
Obstetrics & Gynecology

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

MARK JUTRAS is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1093771792 to MARK JUTRAS on April 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK JUTRAS below.

NPI Profile for
MARK L. JUTRAS

NPI Number
1093771792
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK L. JUTRAS
Credentials
MD
Primary location
1918 RANDOLPH RD STE 210
CHARLOTTE, NC 28207-1109
Phone: (704) 947-9000 Fax: (704) 992-1900
1 Other location(s):
615 E Princeton St
Ste. 225
Orlando, FL 32803-1456
Phone: (407) 896-7575
Fax: (407) 894-2692
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
FL 54438

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.