MARK H WILSON (NPI# 1609873330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609873330 |
Entity Type | Individual |
Full Name | MARK H WILSON |
Credential | M.D. |
Practice Address |
1076 W Chandler Blvd Ste 113 Chandler AZ 85224-5225 |
Practice Telephone | 4809639334 |
Practice Fax Number | 4809630444 |
Mailing Telephone | 4809639334 |
Mailing Fax Number | 4809630444 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2008-05-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 13278 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BLUE CROSS BLUE SHIELD | AZ0039000 | 01 |
AZ | 251166 | 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 |
1076 W CHANDLER BLVD STE 113 |
City | CHANDLER |
State | AZ |
Zip Code | 85224-5225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811416233 | Jonathon David Bodam | Physical Therapist | 1076 W Chandler Blvd, Chandler, AZ 85224-5225 | 2017-09-18 |
1871040279 | Joshua Jenks | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2016-09-02 |
1306391917 | Mark A Celaya | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2016-08-24 |
1861945263 | Tiffany Eitreim | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2016-08-02 |
1174987093 | Mouly Bhatt | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2016-04-06 |
1881056299 | Stephen Alex Calderon | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2016-03-24 |
1306219647 | Lauren Duffy | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2015-11-09 |
1780065821 | Michelle Perry | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2015-06-15 |
1366823908 | Jessica Comiskey | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2015-06-09 |
1700264587 | Kelly Holland | Physical Therapist | 1076 W Chandler Blvd, 103, Chandler, AZ 85224-5225 | 2015-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
Find all providers in zip 85224 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801416011 | Connective Med, LLC | Family Medicine | 1641 S Carriage Ln, Chandler, AZ 85286-6711 | 2020-04-17 |
1326673906 | Patricia Elzner | Family Medicine | 2470 W Edgewater Way Apt 2061, Chandler, AZ 85248-3012 | 2020-03-04 |
1669019220 | Balance Hormone Chandler, Pllc | Family Medicine | 2095 W Pecos Rd Ste 396, Chandler, AZ 85224-5724 | 2019-12-03 |
1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
1265900591 | Jessie Jiyeon Dziduch | Family Medicine | 1256 W Chandler Blvd Ste 32, Chandler, AZ 85224-5226 | 2018-11-05 |
1578077608 | Chandler Medical Center, LLC | Family Medicine | 1055 W Queen Creek Rd Ste 2, Chandler, AZ 85248-8134 | 2017-11-28 |
1083093538 | Personacare Medical LLC | Family Medicine | 1530 W Kent Dr, Chandler, AZ 85224-8537 | 2015-05-29 |
1982090148 | Barbee Primary Care, Pllc | Family Medicine | 1100 S Dobson Rd, Bldg A, #205b, Chandler, AZ 85286 | 2015-04-14 |
1053703801 | Atlas Medical Group, Inc | Family Medicine | 2350 E Germann Rd, Ste 31, Chandler, AZ 85286-1579 | 2015-03-02 |
1649572546 | Frank Truong | Family Medicine | 1435 S Alma School Rd, Chandler, AZ 85286-7144 | 2010-11-27 |
Find all providers in CHANDLER |
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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.