DR. MARK LEO WILSON (NPI# 1053611699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053611699 |
| Entity Type | Individual |
| Full Name | DR. MARK LEO WILSON |
| Credential | PHARM.D. |
| Practice Address |
5049 S 13th St Leavenworth KS 66048-5581 |
| Practice Telephone | 9137274810 |
| Mailing Telephone | 9137274810 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9433 | NE | Pharmacy 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 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1013076405 | Mark R Wilson | Acupuncturist | 11573 Los Osos Valley Rd Ste H, San Luis Obispo, CA 93405-6497 | 2006-12-08 |
| 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 |
5049 S 13TH ST |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-5581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609131150 | Eva Schaffner | Pharmacist | 25126 Tonganoxie Rd, Leavenworth, KS 66048-7313 | 2012-07-11 |
| 1982979837 | Wendy Harmon | Pharmacist | 4101 S 4th St # L-119, Leavenworth, KS 66048-5014 | 2012-03-11 |
| 1396077624 | David Thacker Reeves | Pharmacist | 4820 S 4th St, Leavenworth, KS 66048-5035 | 2010-02-11 |
| 1598913824 | Lynn Marie Thomas | Pharmacist | 2900 S 4th St, Leavenworth, KS 66048-5002 | 2008-08-28 |
| 1770747370 | Abraham Andrew Martinez | Pharmacist | 16780 Renesland Rd, Leavenworth, KS 66048-9485 | 2008-07-12 |
| 1598886806 | Mitchell William Bowen | Pharmacist | 1300 Metropolitan Ave, Leavenworth, KS 66048 | 2007-04-03 |
| 1841379146 | Mehrdad Martin Hedayatzadeh | Pharmacist | 5000 S.13th St., Leavenworth, KS 66048 | 2006-11-06 |
| 1881771327 | Bernard Joseph Bristow | Pharmacist | 5000 S 13th St, Leavenworth, KS 66048-5581 | 2006-11-01 |
| 1518044205 | Patrick D Minard | Pharmacist | 5000 South 13th Street, Leavenworth, KS 66048 | 2006-11-01 |
| 1821175936 | Stephen Glen Brown | Pharmacist | 5000 Sout5h 13 Th Street, V.aq. Cmop -- Leavenworth, Leavenworth, KS 66048-9810 | 2006-11-01 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on DR. MARK LEO WILSON.
| 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.