MEDICARE: JAMES F MARKMANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204F00000X	Transplant Surgery Physician	042.0012771	VT
2	208600000X	Surgery Physician	230944	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000107701	OTHER	MA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861422974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES F MARKMANN MD

Provider Business Mailing Address
First Line	:	55 FRUIT ST # 517
Second Line	:	MGH TRANSPLANT DIVISION
City	:	BOSTON
State	:	MA
Zip	:	02114-2621
Country	:	US
Telephone Number	:	617-643-4533
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 SPRUCE STREET
Second Line	:	4 SILVERSTEIN
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4206
Country	:	US
Telephone Number	:	215-615-4949
Fax Number	:	215-662-2244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/22/2024

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