MARK C DILLON


Address: 1223 Gateway Dr, Melbourne, FL 32901-2607
Phone: 3217254500

MARK C DILLON (NPI# 1013908920) 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) 1013908920
Entity Type Individual
Full Name MARK C DILLON
Credential MD
Practice Address 1223 Gateway Dr
Melbourne
FL 32901-2607
Mailing Address 3150 N Wickham Rd Ste 6
Melbourne
FL 32935-2322
Practice Telephone 3217254500
Practice Fax Number 3214091879
Mailing Telephone 3212423227
Mailing Fax Number 3212424934
Enumeration Date 2005-10-31
Last Update Date 2020-06-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME63710 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RR MEDICARE 100013898 01
FL 373405600 05
FL MEDICARE MM198 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1223 Gateway Dr, Melbourne, FL 329012607 3217254500 3214091879
3150 N Wickham Rd Ste 6, Melbourne, FL 329352322 3212423227 3212424934

Other Providers MARK DILLON

NPI Name Taxonomy Address Enumeration
1295870038 Mark Gavin Dillon Psychologist 2720 Ne 33rd Ave, Portland, OR 97212-3648 2007-02-20
1366547986 Mark Andrew Dillon Dentist 75 Old Highway 98 E, Tylertown, MS 39667-2300 2006-09-14
1578629572 Mark Thomas Dillon Orthopaedic Surgery 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 2006-12-28
1144249533 Mark Lambert Dillon Emergency Medicine 400 Soldier Creek Road, Highway 18, Rosebud, SD 57570-0400 2006-07-18

Office Location

Street Address 1223 GATEWAY DR
City MELBOURNE
State FL
Zip Code 32901-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376537373 Rajiv Bhambri Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901 2005-09-06
1538727300 Barbara Litt Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1194383034 Lara Sexton Anzalone Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1184101883 Amber Elmore Nurse Practitioner 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-07-25
1649765843 Health First Medical Group, LLC Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-29
1134613847 Sara Gaffney Audiologist 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-16
1134673049 Karen Bransky Nurse Practitioner 1223 Gateway Dr, Suite G, Melbourne, FL 32901-2607 2016-08-09
1598113755 Jason Dickey Pharmacist 1223 Gateway Dr, Melbourne, FL 32901-2607 2016-05-28
1598129397 Danielle L Dillon Gannon Nurse Practitioner 1223 Gateway Dr, Suite E, Melbourne, FL 32901-2607 2016-04-07
1619374436 Holmes Regional Medical Center, Inc. Pharmacy 1223 Gateway Dr, Melbourne, FL 32901-2607 2014-11-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
Find all providers in zip 32901

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700983863 Shireen F Gadallah Internal Medicine 25 Silver Palm Ave, Suite B, Melbourne, FL 32901-3177 2006-09-20
1467556456 Peter A Koretsky Internal Medicine 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940-7306 2006-09-11
1275519548 Scott Seminer Internal Medicine 1334 Valentine St, Melbourne, FL 32901-3128 2005-12-19
1164406500 Jeremiah Paul Donovan Internal Medicine 6235 Anello Dr, Melbourne, FL 32940 2005-11-30
1922081983 Athan P Kartsonis Internal Medicine 1301 Hickory St, Melbourne, FL 32901-3223 2005-11-23
1861483810 Glenn David Gardner Internal Medicine 1324 Valentine St, Melbourne, FL 32901-3128 2005-10-31
1316937535 Kaseng Derek Chan-pong Internal Medicine 1223 Gateway Dr Ste B, Melbourne, FL 32901-2607 2005-10-27
1114917655 Charles A Farrington Internal Medicine 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 2005-10-26
1700870847 Mark Douglas Hughes Internal Medicine 8725 N Wickham Rd Ste 200, Melbourne, FL 32940-2240 2005-09-06
1033101985 Martin E Avalos Internal Medicine 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 2005-08-17
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32901

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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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