NPIMap

Organization Active NPI

Mark Neurology,LLC

  • Neurology Physician
  • Millsboro, DE
National Provider Identifier
1114192077
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C10003541 Issued in DE
Legal business name
MARK NEUROLOGY,LLC
Practice address
28467 Dupont Blvd
Suite 3a
Millsboro, DE 19966-3749
Phone
(302) 933-0111
Fax
(302) 933-0990
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Michael Howard Mark, M.D.
Title
Owner
Phone
(302) 933-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X C10003541 DE Primary

Addresses

Primary practice location

28467 Dupont Blvd
Suite 3a
Millsboro, DE 19966-3749

Mailing address

28467 Dupont Blvd
Suite 3a
Millsboro, DE 19966-3749
Phone (302) 933-0111

National Provider Directory

National Provider Directory

Locations

28467 DuPont Blvd
Unit 3A
Millsboro, DE 19966
Phone (302) 933-0111

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1114192077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD",
            "address_2": "SUITE 3A",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-933-0111",
            "fax_number": "302-933-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD",
            "address_2": "SUITE 3A",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-933-0111",
            "fax_number": "302-933-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK NEUROLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-933-0111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C10003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.