MARK W MINOR MD NPI 1982609657

NPI Information

  • NPI: 1982609657
  • Provider Name: MARK W MINOR, MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D2188027
  • Address: 3021 W EAU GALLIE BLVD STE 102
    MELBOURNE, FL
    ZIP 32934
  • Phone: (321) 757-5550

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NPI Details

Mark W Minor, MD is an allergy allergy immunology in Melbourne, FL with 44 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Mark W Minor, MD NPI is 1982609657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

3021 W EAU GALLIE BLVD STE 102
MELBOURNE, FL
ZIP 32934-005
Phone: (321) 757-5550
Fax: (321) 255-5552

The NPI 1982609657 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 CLIA number assigned to this NPI record is 10D2188027 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Nasal smear for eosinophils (allergy related white blood cells) (HCPCS:89190)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Test to measure the level of nitric oxide gas (HCPCS:95012)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 3/19/2025.

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
1207KA0200XAllergy & ImmunologyAllergyME0045859FLORIDAYes

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
11762243003OTHERFLORIDACIGNA
24038851OTHERFLORIDAAETNA
326075OTHERFLORIDABCBS

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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