MARK LIVINGSTON JUTRAS MD NPI 1093771792

NPI Information

  • NPI: 1093771792
  • Provider Name: MARK LIVINGSTON JUTRAS, MD
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • Address: 1918 RANDOLPH RD STE 210
    CHARLOTTE, NC
    ZIP 28207
  • Phone: (704) 947-9000

Map and Directions

Get Directions

NPI Details

Mark Livingston Jutras, MD is a reproductive endocrinology obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Mark Livingston Jutras, MD NPI is 1093771792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1918 RANDOLPH RD STE 210
CHARLOTTE, NC
ZIP 28207-109
Phone: (704) 947-9000
Fax: (704) 992-1900

The enumeration date for this NPI number is 4/22/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive Endocrinology54438FLORIDANo
2207VE0102XObstetrics & GynecologyReproductive Endocrinology2006-01581NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI