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MARLON MINOR RSA, CSA
NPI 1770887887
Specialist/Technologist, Other - Surgical Assistant in Normal, IL

Active since January 04, 2011
112 BOEYKENS PL STE 2A, NORMAL, IL 61761(309) 846-4716 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlon Minor Rsa, Csa NPPES

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

MARLON MINOR RSA, CSA (NPI 1770887887) is an individual surgical assistant in Normal, Illinois, licensed in Illinois (238.000282) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1770887887
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMARLON MINORCredential: RSA, CSA
Location Address112 BOEYKENS PL STE 2ANormal, IL 61761-2152
Mailing Address112 Boeykens Pl Ste 2aNormal, IL 61761-2152
Phone(309) 846-4716
Sole ProprietorYes
Enumeration DateJanuary 4, 2011
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1770887887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in IL · 238.000282
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
112 BOEYKENS PL STE 2A, Normal, IL 61761
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Other Providers at the Same Location NPPES

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

PRUDENCE LOGAN ST
112 BOEYKENS PL STE 2A
NORMAL, IL 61761
McLean County (309) 846-4716

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 Marlon Minor's NPI number?

The NPI number for Marlon Minor is 1770887887. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Marlon Minor located?

Marlon Minor practices at 112 Boeykens Pl Ste 2A, Normal, IL 61761. The listed phone number is (309) 846-4716.

What is Marlon Minor's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Marlon Minor was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.