Mark Stephen Dolz, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036094413 Issued in IL

Practice address

1600 W Walnut
Passavant Area Hospital - Laboratory
Jacksonville, IL 62650

Phone

(217) 245-9541

Fax

(217) 479-5648

NPI assigned

Aug 1, 2006

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Pathology, P.a.Group PAC ID 2668516469, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
• Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
• Knapp Medical Center Hospital, Weslaco, TX, CCN 450128
• Mission Regional Medical Center Hospital, Mission, TX, CCN 450176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Pathology PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Edinburg, TX
  • NPI 1881929321
  Medicare reassignment Care Compare group NPD
• Pathology Associates of Central Illinois LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
  • NPI 1548363138
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation
• Harlingen Medical Center Limited Partnership

  dba Harlingen Medical Center

  • General Acute Care Hospital
  • Harlingen, TX
  • NPI 1881688976
  Care Compare affiliation
• Knapp Medical Center

  • General Acute Care Hospital
  • Weslaco, TX
  • NPI 1861488579
  Care Compare affiliation
• Mission Hospital, Inc

  dba Mission Regional Medical Center

  • Rehabilitation Hospital
  • Mission, TX
  • NPI 1508895079
  Care Compare affiliation
• Mission Hospital, Inc.

  dba Mission Regional Medical Center

  • General Acute Care Hospital
  • Mission, TX
  • NPI 1205833985
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1104833631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7433 N 5TH ST",
            "city": "MCALLEN",
            "state": "IL",
            "postal_code": "68504",
            "telephone_number": "956-410-9071",
            "fax_number": "956-410-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT",
            "address_2": "PASSAVANT AREA HOSPITAL - LABORATORY",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "62650",
            "telephone_number": "217-245-9541",
            "fax_number": "217-479-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLZ",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036094413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360944131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jozy Degroot, HIS
• Department of Human Services
• Caitlen Elizabeth Despain, FNP-BC
• Kristi A. Diblasi, PHARMD
• Kelsi Lynn Dobson, LCSW
• Sarah Elizabeth Donegan, PCET M.ED.
• Dennis A Doyle, DC
• Edwin S Doyle, D.C.
• Kelly Irvin Doyle, D.C.
• Hallie Draughan, RBT

• Anatomic Pathology & Clinical Pathology Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.