Mark Jay Mcgillem in Mishawaka - Internal Medicine
Mark Jay Mcgillem - NPI 1700877339
Mark Jay Mcgillem is a Internal Medicine in Mishawaka, Indiana. Mark Jay Mcgillem practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Jay Mcgillem is 1700877339. The last update date is 2012-03-15.
Mark Jay Mcgillem's current location address is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can contact this provider via phone number 5743352521 and fax number 5743352262. The mailing address for Mark Jay Mcgillem is 5215 Holy Cross Pkwy, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jay Mcgillem |
|---|---|
| Address | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Phone Number | 5743352521 |
| Fax Number | 5743352262 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700877339 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 5215 Holy Cross Pkwy |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465451469 |
| Phone Number | 5743352521 |
| Fax Number | 5743352262 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 01051194A |
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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 |
|---|---|---|---|
| 735776 | IN | BCBS | |
| 200233400 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Jay Mcgillem by the Centers for Medicare & Medicaid Services?
The Mark Jay Mcgillem has been assigned the NPI (National Provider Identifier) 1700877339 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Jay Mcgillem's facilities are situated?
The facilities of Mark Jay Mcgillem are physically located at the following address: 5215 Holy Cross Pkwy, Mishawaka, IN, 465451469.
What is Mark Jay Mcgillem's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Jay Mcgillem is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date was the 1700877339 assigned to Mark Jay Mcgillem?
The Mark Jay Mcgillem was issued its 1700877339 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Jay Mcgillem, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Jay Mcgillem, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-15.