MARK R WILSON (NPI# 1144263534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144263534 |
| Entity Type | Individual |
| Full Name | MARK R WILSON |
| Credential | MD |
| Practice Address |
5315 Elliott Dr Suite 202 Ypsilanti MI 48197-8634 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347120600 |
| Practice Fax Number | 7347120522 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MW046336 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
4301046336 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 101918045 | 05 |
| 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 |
| 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 |
| Street Address |
5315 ELLIOTT DR SUITE 202 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483010 | Robert A Young | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2005-08-09 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1578075420 | Christopher Hagedon | Physical Therapist | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-11-01 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1447629662 | Johnathan Ogar | Physician Assistant | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2015-09-17 |
| 1992109904 | Iha Health Services Corp. | Orthopaedic Surgery | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2014-10-20 |
| 1225467814 | Chelsea Professional Services | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2013-11-05 |
| 1801223607 | Saline Medical Office | Orthopaedic Surgery | 5315 Elliott Dr, Suite 304, Ypsilanti, MI 48197-8634 | 2013-10-11 |
| 1003189648 | Kurt J Hiester | Physician Assistant | 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197-8634 | 2012-02-13 |
| 1316245343 | Great Lakes Prosthetics and Busch Daniel J Member | Prosthetic/Orthotic Supplier | 5315 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8634 | 2011-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334394 | Rajesh Bhagat Md PC | Surgery | 4020 S Vernoy, Wayne, MI 48184 | 2007-05-11 |
| 1932313558 | Avery A. Arora | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2007-05-10 |
| 1568476703 | Rajesh C Bhagat | Surgery | 19181 15 Mile Rd, Clinton Twp, MI 48035-2508 | 2006-07-27 |
| 1528003829 | Joseph F Looby | Surgery | 2540 Woodmeadow Dr Se, Grand Rapids, MI 49546-8050 | 2006-06-19 |
| 1396700761 | Daniel J Olsen | Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2006-04-19 |
| 1730160052 | Curtis S Young | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2005-11-14 |
| 1609868496 | Jeffrey Maurice Hall | Surgery | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 | 2005-08-17 |
| 1689163529 | Avery Arora, Md PC | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2018-05-07 |
| 1730403403 | Dong Wha Ohm Md PC | Surgery | 1085 S Linden Rd, Suite 100, Flint, MI 48532-3421 | 2010-03-24 |
| 1265660062 | Jeremy Ryan Ciullo | Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093 | 2009-06-30 |
| Find all providers with the same taxonomy | ||||
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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.