# MARK E GILLESPIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942277280
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 24107 | KY | — |
| 207W00000X | Ophthalmology Physician | ME148468 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 06/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000044961 | ANTHEM BCBS | — |
| 05 | — | 0470581032 | — | IL |
| 01 | — | 180011413 | RAILROAD MEDICARE | — |
| 01 | — | 610706763 | TRICARE | — |
| 05 | — | 64241078 | — | KY |
| 05 | — | 7100053130 | — | KY |