MARK D MARILLEY


Address: 701 Doctors Dr, Suite N, Kinston, NC 28501-1584
Phone: 2525592200

MARK D MARILLEY (NPI# 1407852353) 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) 1407852353
Entity Type Individual
Full Name MARK D MARILLEY
Credential MD
Practice Address 701 Doctors Dr
Suite N
Kinston
NC 28501-1584
Practice Telephone 2525592200
Practice Fax Number 2525229778
Mailing Telephone 2525592200
Mailing Fax Number 2525229778
Enumeration Date 2005-06-24
Last Update Date 2019-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD192722 OR Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
200700105 NC Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
21764 WV Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD425171 PA Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
350085209 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810001403 05
NC 5906555 05
NC BCBSNC 144T9 01
PA 1011688500001 05
OH 2521248 05

Office Location

Street Address 701 DOCTORS DR
SUITE N
City KINSTON
State NC
Zip Code 28501-1584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740716059 Carolina Orthopedic and Sports Medicine, Inc - Kinston Orthopaedic Surgery 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 2017-05-05
1366895880 Lenoir Physicians Network, LLC Obstetrics & Gynecology 701 Doctors Dr, Suite E1, Kinston, NC 28501-1589 2016-07-20
1720447386 Owen Davis Physician Assistant 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 2016-02-11
1104220300 Lenoir Physicians Network LLC Psychiatry & Neurology 701 Doctors Dr, Suite E2, Kinston, NC 28501-1589 2014-10-16
1871993063 Lenoir Physicians Network LLC Urology 701 Doctors Dr, Suite L, Kinston, NC 28501-1589 2014-08-26
1407269426 Victoria Conway Nurse Practitioner 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 2014-06-06
1962823039 Dempsey's Long Term Care, LLC Pharmacy 701 Doctors Dr, Suite P-2, Kinston, NC 28501-1589 2013-12-17
1376980482 Mallory Conway Tucker Nurse Practitioner 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 2013-05-30
1639414915 Kinston Clinic Pharmacy Pharmacy 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 2012-11-28
1548512189 Miranda Grady Hill Pharmacist 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 2012-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912428780 Latasha Carr Counselor 120 Lenoir Str, B, Kinston, NC 28501 2017-07-03
1598295107 Craig A Marva Dentist 1104 West Vernon Ave., Kinston, NC 28501 2017-06-15
1235535238 Rachel Krueger Pharmacist 201 West Vernon Ave, Kinston, NC 28501 2014-11-18
1457773020 Abigail L Hemmings Physician Assistant 2509 North Queen Street, Kinston, NC 28501 2014-01-15
1730521063 Courtney Mitchell Iv Dentist 2500 N Herritage St., Suite A, Kinston, NC 28501 2013-07-29
1023459757 Courtney Mitchell, IIi Dds Pa Dentist 2500 N. Herritage St., Suite A, Kinsten, NC 28501 2013-07-10
1558609602 Jessica Meria Hendricks Counselor 400 Glenwood Ave Ste 2, Kinston, NC 28501 2013-01-24
1871853523 Bethany Mckittrick Griffin Pharmacist 300 North Queen Street, Kinston, NC 28501 2012-05-29
1750647574 Peter K Hobler Counselor 2902 N. Heritage Street, Kinston, NC 28501 2012-04-05
1568732154 Michael Dion Smallwood Counselor 2902 A North Heritage St, Kinston, NC 28501 2012-01-12
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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
1558630483 Atlantic Medical Group Internal Medicine 2541 N.queen St, Kinston, NC 28501-3851 2011-12-21
1285637108 Joseph Anthony Saracino Internal Medicine 2602 N Herritage St, Kinston, NC 28501-1503 2005-05-24
1548308976 Kinston Digestive Diseases Pa Internal Medicine 1100 Hardee Rd, Suite 103b, Kinston, NC 28504 2007-02-01
1548312432 Richard James Kroeger Internal Medicine 1100 Hardee Rd, Suite 103 B, Kinston, NC 28504 2007-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346889292 Park Gastroenterology, Pllc Internal Medicine 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 2019-12-24
1528625399 Rowan Endoscopy Center, Pllc Internal Medicine 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 2019-05-28
1073091088 Gastroenterology Associates of The Piedmont, P.a. Internal Medicine 445 Pineview Dr Ste 200b, Kernersville, NC 27284 2018-08-01
1710489273 Appalachian Regional Medical Associates Inc Internal Medicine Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 2018-03-01
1669971826 Appalachian Regional Medical Associates Inc Internal Medicine 870 State Farm Rd Ste 2, Boone, NC 28607-4861 2018-02-02
1437556594 Novant Medical Group Inc Internal Medicine 13 Medical Campus, Suite 102, Supply, NC 28462-4093 2014-12-04
1275930968 Digestive Health Specialists, Pa Internal Medicine 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 2014-11-25
1326454174 Daniel Dillon Internal Medicine 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 2014-07-01
1841610300 Shelly Gurwara Internal Medicine Medical Ctr Blvd, Winston Salem, NC 27157-2358 2014-04-23
1518386457 Silpa Yalamanchili Internal Medicine 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 2014-04-08
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Competitor

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City KINSTON
Zip Code 28501

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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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