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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810001403 | 05 | |
NC | 5906555 | 05 | |
NC | BCBSNC | 144T9 | 01 |
PA | 1011688500001 | 05 | |
OH | 2521248 | 05 |
Street Address |
701 DOCTORS DR SUITE N |
City | KINSTON |
State | NC |
Zip Code | 28501-1584 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28501 |
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 |
---|---|---|---|---|
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 |
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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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.