MARK C. DILLON, M.D. PLLC (NPI# 1235591025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235591025 |
| Entity Type | Organization |
| Organization Name | MARK C. DILLON, M.D. PLLC |
| Practice Address |
3150 N Wickham Rd Suite 6 Melbourne FL 32935-2322 |
| Practice Telephone | 3212423227 |
| Mailing Telephone | 3212423227 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MARK C DILLON (OWNER) |
| Authorized Official Telephone | 3212423227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME63710 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3150 N WICKHAM RD SUITE 6 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311282 | Sharon Angela Dillon | Pediatrics | 3150 N Wickham Rd, Melbourne, FL 32935-2322 | 2006-05-11 |
| 1265857403 | Nu-me Fitness and Equipment | Clinic/Center | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | 2014-02-25 |
| 1013348234 | Nu-me Fitness and Equipment Corp | Clinic/Center | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | 2013-12-13 |
| 1578872602 | Pain Care Management of Melbourne, LLC | Clinic/Center | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | 2010-10-07 |
| 1558388454 | Thomas Karl Velleff Jr. | General Practice | 3150 N Wickham Rd, Suite 9, Melbourne, FL 32935-2322 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| 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 | ||||
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| 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.