Mark J Dilella in Greenwood - Sports Medicine
Mark J Dilella - NPI 1053363002
Mark J Dilella is a Sports Medicine in Greenwood, Indiana. Mark J Dilella practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark J Dilella is 1053363002. The last update date is 2021-03-23.
Mark J Dilella's current location address is 1260 Innovation Pkwy #100, Greenwood, Indiana. You can contact this provider via phone number 3178845200 and fax number 3178845360. The mailing address for Mark J Dilella is 1260 Innovation Pkwy #100, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Dilella |
|---|---|
| Address | 1260 Innovation Pkwy #100, Greenwood, Indiana |
| Phone Number | 3178845200 |
| Fax Number | 3178845360 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1053363002 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 1260 Innovation Pkwy #100 |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 4614336020 |
| Phone Number | 3178845200 |
| Fax Number | 3178845360 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 02001725A |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200081810 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark J Dilella by the Centers for Medicare & Medicaid Services?
The Mark J Dilella has been issued the NPI (National Provider Identifier) 1053363002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mark J Dilella's physical address?
The Mark J Dilella is physically located at 1260 Innovation Pkwy #100, in the city of Greenwood, IN, with the postal code 4614336020.
What is the Mark J Dilella's area of specialization and corresponding taxonomy classification?
The Mark J Dilella's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date was the 1053363002 assigned to Mark J Dilella?
The Mark J Dilella was issued its 1053363002 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark J Dilella's details last updated?
The information pertaining to the Mark J Dilella, including its address, specialty, and other details, was most recently updated on 2021-03-23.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA