MARK R WILSON (NPI# 1013076405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013076405 |
| Entity Type | Individual |
| Full Name | MARK R WILSON |
| Credential | Q.M.E., O.M.D., LAC |
| Practice Address |
11573 Los Osos Valley Rd Ste H San Luis Obispo CA 93405-6497 |
| Practice Telephone | 8054390044 |
| Practice Fax Number | 8054390779 |
| Mailing Telephone | 8054390044 |
| Mailing Fax Number | 8054390779 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 005109 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313089 | Mark Wilson | Military Health Care Provider | 1101 Grade Ln, 123 Special Tactics, Louisville, KY 40213-2673 | 2016-05-13 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1053611699 | Mark Leo Wilson | Pharmacist | 5049 S 13th St, Leavenworth, KS 66048-5581 | 2010-10-29 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1700950771 | Mark Wilson | Chiropractor | 2300 Great Northern Ave Ste B, Missoula, MT 59808-1726 | 2006-11-20 |
| 1578633046 | Mark K Wilson | Dentist | 107 N Maple, Osceola, AR 72370 | 2006-11-09 |
| 1437239357 | Mark A. Wilson | Dentist | 400 Duncan Station Rd, Mckeesport, PA 15135-3333 | 2006-10-16 |
| 1831287267 | Mark S Wilson | Anesthesiology | 4444 Corona Dr Ste 215, Corpus Christi, TX 78411-4300 | 2006-10-11 |
| 1679660682 | Mark Wilson | Emergency Medicine | 2801 Franciscan Drive, St. Joseph's Regional Health System- Emergency Dept., Bryan, TX 77802 | 2006-10-10 |
| Street Address |
11573 LOS OSOS VALLEY RD STE H |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-6497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688452 | Galen Wilson | Acupuncturist | 2078 Parker St Ste 200, San Luis Obispo, CA 93401-5054 | 2019-06-18 |
| 1811350457 | Intuitive Acupuncture | Acupuncturist | 2078 Parker St, 200, San Luis Obispo, CA 93401-5056 | 2016-03-31 |
| 1780074591 | Kenneth Drake | Acupuncturist | 1124 Nipomo St Ste C, San Luis Obispo, CA 93401-3883 | 2015-02-01 |
| 1194154005 | Jonathan Andrew Olcott | Acupuncturist | 669 Pacific St Ste B, San Luis Obispo, CA 93401-3972 | 2013-11-01 |
| 1578810305 | Jacqueline Jag Anaya | Acupuncturist | 1264 Higuera Street, Suite 102, San Luis Obispo, CA 93401 | 2012-08-10 |
| 1366708315 | Tara Marie Kulikov | Acupuncturist | 205 Suburban Rd Ste 6, San Luis Obispo, CA 93401-7515 | 2012-04-04 |
| 1659650364 | Julianna Englund | Acupuncturist | 1415 Higuera St, San Luis Obispo, CA 93401-2915 | 2011-08-11 |
| 1134438542 | Michelle Thomas Hamilton | Acupuncturist | 232 Chorro St, San Luis Obispo, CA 93405-2316 | 2010-10-03 |
| 1902112360 | Suk Y Tse | Acupuncturist | 1177 Palm St, San Luis Obispo, CA 93401-3113 | 2010-08-24 |
| 1689816472 | Ann-marie Terez Blanchard | Acupuncturist | 1540 Marsh St Ste 140, San Luis Obispo, CA 93401-2979 | 2009-03-25 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.