DR. MARK STEPHEN WILSON II (NPI# 1225233604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225233604 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN WILSON II |
| Credential | M.D. |
| Practice Address |
5522 S Lewis Ave Tulsa OK 74105-7105 |
| Mailing Address |
635 W 79th St Tulsa OK 74132-2645 |
| Practice Telephone | 9184888285 |
| Mailing Telephone | 9189354590 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 24648 | OK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | TRN10336 | FL | Allopathic & Osteopathic Physicians |
| 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 |
5522 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74105-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365213 | William F Letcher | Dentist | 5522 S Lewis Ave, Tulsa, OK 74105-7105 | 2005-06-10 |
| 1639526924 | Key Health Tulsa, LLC | Physical Therapist | 5522 S Lewis Ave, Suite 200, Tulsa, OK 74105-7105 | 2016-05-17 |
| 1881099414 | Rmo - Tulsa, Pllc | Chiropractor | 5522 S Lewis Ave, Tulsa, OK 74105-7105 | 2014-10-24 |
| 1972638963 | Chris K Ward | Dentist | 5522 S Lewis Ave, Tulsa, OK 74105 | 2007-02-22 |
| 1023127065 | Cori Ann Burchart | Specialist | 5522 S Lewis Ave, Tulsa, OK 74105-7105 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1710279724 | Brett Allen Barrick | Orthopaedic Surgery | 2424 E 21st St Ste 320, Tulsa, OK 74114-1722 | 2011-05-09 |
| 1104139328 | Warren Clinic, Inc | Orthopaedic Surgery | 10507 East 91st Street, Suite 450, Tulsa, OK 74133 | 2010-07-16 |
| 1467770610 | Gary Charles Hassmann | Orthopaedic Surgery | 8206 East 74th Court, Tulsa, OK 74133 | 2010-05-12 |
| 1700042892 | Denny E Krout Do Inc | Orthopaedic Surgery | 8523 E 11th St Ste A2, Tulsa, OK 74112-7947 | 2008-07-29 |
| 1306968839 | Northeast Orhtopaedics & Sports Medicine | Orthopaedic Surgery | 6312 E 101st Street, Tulsa, OK 74137 | 2007-04-04 |
| 1528122413 | Clint Justin Basener | Orthopaedic Surgery | 6130 E 81st St, Tulsa, OK 74137 | 2006-12-21 |
| 1518077502 | Eugene Gray Feild II | Orthopaedic Surgery | 6600 South Yale Avenue, Suite 1315, Tulsa, OK 74136 | 2006-08-30 |
| 1619982063 | Tulsa Orthopedic Surgeons | Orthopaedic Surgery | 9709 E 79th St South, Tulsa, OK 74133 | 2006-07-31 |
| Find all providers in TULSA | ||||
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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.