MARK D MARILLEY MD NPI 1407852353

NPI Information

  • NPI: 1407852353
  • Provider Name: MARK D MARILLEY, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 SE HOSPITAL AVE
    STUART, FL
    ZIP 34994
  • Phone: (772) 287-5200

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NPI Details

Mark D Marilley, MD is a gastroenterology internal medicine in Stuart, FL with 30 years of experience. The provider is 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. Mark D Marilley, MD NPI is 1407852353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1996

The provider's business location address is:

200 SE HOSPITAL AVE
STUART, FL
ZIP 34994-346
Phone: (772) 287-5200

The NPI 1407852353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 6/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyDR.0067585COLORADONo
2207RG0100XInternal MedicineGastroenterologyMD192722OREGONNo
3207RG0100XInternal MedicineGastroenterology200700105NORTH CAROLINANo
4207RG0100XInternal MedicineGastroenterologyMD425171PENNSYLVANIANo
5207RG0100XInternal MedicineGastroenterology21764WEST VIRGINIANo
6207RG0100XInternal MedicineGastroenterology21216NORTH DAKOTANo
7207RG0100XInternal MedicineGastroenterology350085209GEORGIANo
8207RG0100XInternal MedicineGastroenterologyME157995FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SZ970OTHERFLORIDAMEDICARE HF
23810001403MEDICAIDWEST VIRGINIA
35906555MEDICAIDNORTH CAROLINA
42521248MEDICAIDOHIO
51011688500001MEDICAIDPENNSYLVANIA
6144T9OTHERNORTH CAROLINABCBSNC
7115206300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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