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MRS. MARILYN STOMBAUGH PA-C
NPI 1669559290
Physician Assistant - Medical in Mount Vernon, IL

Active since November 01, 2006
4107 S WATER TOWER PL, MOUNT VERNON, IL 62864(618) 244-0031 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Marilyn Stombaugh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARILYN STOMBAUGH PA-C (NPI 1669559290) is an individual medical provider in Mount Vernon, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669559290
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARILYN STOMBAUGHCredential: PA-C
Location Address4107 S WATER TOWER PLMount Vernon, IL 62864-6293
Mailing Address14739 N County Farm LnMount Vernon, IL 62864-9895 · (618) 241-9619
Phone(618) 244-0031
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669559290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4107 S WATER TOWER PL, Mount Vernon, IL 62864
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Other Identifiers 2

Medicare ID-Type UnspecifiedK27158
Medicare UPINQ20550IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED SKIN SPECIALISTS ILLINOIS LTD, PC
Dermatology
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0031
HELAINE SUE BLOMENKAMP FNP-C
Nurse Practitioner (Family)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0031
UNITED SKIN SPECIALISTS ILLINOIS LTD, PC
Dermatology
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0031
TINA HALL
Nurse Practitioner (Family)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0031
SKIN CARE CENTER OF SOUTHERN IL LLC
Dermatology (Dermatopathology)
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Stombaugh's NPI number?

The NPI number for Marilyn Stombaugh is 1669559290. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Marilyn Stombaugh located?

Marilyn Stombaugh practices at 4107 S Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-0031.

What is Marilyn Stombaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Marilyn Stombaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.