Mark Stivers in Bloomington - Internal Medicine
Mark Stivers - NPI 1417943523
Mark Stivers is a Internal Medicine in Bloomington, Illinois. Mark Stivers practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Stivers is 1417943523. The last update date is 2022-06-08.
Mark Stivers's current location address is 207 E Hamilton Rd, Bloomington, Illinois. You can contact this provider via phone number 3098274090. The mailing address for Mark Stivers is 207 E Hamilton Rd, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stivers |
|---|---|
| Address | 207 E Hamilton Rd, Bloomington, Illinois |
| Phone Number | 3098274090 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417943523 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2022-06-08 |
Provider Mailing Address Detail
| Address | 207 E Hamilton Rd |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617047527 |
| Phone Number | 3098274090 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36.141995 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 866220 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Stivers by the Centers for Medicare & Medicaid Services?
The Mark Stivers has been assigned the NPI (National Provider Identifier) 1417943523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mark Stivers located?
The Mark Stivers is located at 207 E Hamilton Rd, Bloomington, IL 617047527.
What is Mark Stivers's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Stivers's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Mark Stivers receive the assignment of its 1417943523 from the Centers for Medicare & Medicaid Services?
The Mark Stivers was issued its 1417943523 by the Centers for Medicare & Medicaid Services on 2005-09-23.
When was the information related to Mark Stivers most recently updated or refreshed?
The details pertaining to the Mark Stivers, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-08.