Dr. Mark Raymond Hanley, M.D.
Dr. Mark Raymond Hanley is a Surgery Physician provider (Surgery) practicing in Melbourne, FL, registered in the NPPES registry with NPI 1063487676 since 2006. The credential MD stands for Doctor of Medicine. Practices at Jonathan T Paine MD PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063487676 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark Raymond Hanley |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1305 VALENTINE ST, Melbourne, FL, 32901 |
| Phone | 3212547717 |
| Fax | 3214284526 |
| Enumeration date | 2006-02-18 |
| Last updated in NPPES | 2022-07-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | ME86470 | FL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267063100 | Medicaid | FL | — |
| P00242439 | Other | FL | RR MEDICARE |
Copy-ready billing details
Provider: Mark Hanley, M.D. NPI: 1063487676 Taxonomy: 208600000X (Surgery Physician) Address: 1305 VALENTINE ST, Melbourne, FL, 32901
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609840941 | Jonathan Paine | Individual | Neurological Surgery Physician | Melbourne, FL |
| 1932173283 | Jonathan T Paine MD PA | Organization | Neurological Surgery Physician | Melbourne, FL |
Verify this record
Cross-check NPI 1063487676 against the authoritative CMS record: view Dr. Mark Raymond Hanley on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-25.