MARK D WILSON, MD INC (NPI# 1710470703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710470703 |
| Entity Type | Organization |
| Organization Name | MARK D WILSON, MD INC |
| Other Organization Name | MARK D WILSON, MD INC |
| Practice Address |
400 W Pueblo St Santa Barbara CA 93105-4353 |
| Mailing Address |
780 La Buena Tierra Santa Barbara CA 93111-1705 |
| Practice Telephone | 8056827111 |
| Mailing Telephone | 8056371120 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | DR. MARK DANIEL WILSON (PRESIDENT) |
| Authorized Official Telephone | 8056371120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A76869 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mark D Wilson, MD Inc | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 351 S Patterson Ave, Santa Barbara, CA 931112403 | 8056827111 |
| Street Address |
400 W PUEBLO ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505715 | Santa Barbara Radiology Medical Group Inc | Radiology | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2005-08-18 |
| 1417556002 | Joseph Kim | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-10-23 |
| 1154958924 | Aria Ashir | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-03-23 |
| 1083244248 | Christine Noel Lyles | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-01-16 |
| 1588209357 | Cottage Clinical Network, LLC | General Practice | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2019-11-15 |
| 1720556145 | Beeta Mahdavi | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-11-03 |
| 1962978502 | Alisha Atherly-brown | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-10-22 |
| 1285130724 | Connor L Wiles | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-04-03 |
| 1346744737 | Nedeljko Jakov Uncanin Jr. | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-03-20 |
| 1356843270 | Sharise Michelle Redmond | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1790910677 | Karen Hougo | Internal Medicine | 509 Lado Dr, Santa Barbara, CA 93111-1519 | 2009-05-21 |
| 1104823954 | Jennifer Hone | Internal Medicine | 345 Camino Del Remedio, Santa Barbara, CA 93110-1332 | 2005-07-07 |
| 1972135564 | Sansum Diabetes Research Institute | Internal Medicine | 2219 Bath St, Santa Barbara, CA 93105-4321 | 2020-02-11 |
| 1215408240 | Chrysalis Health of Texas, Pa | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-12-17 |
| 1255688560 | Kateryna Markova | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2012-08-07 |
| 1932424702 | Sylvia Cristina Rivera | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2010-04-05 |
| 1013146364 | Ashley Thorsell | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110 | 2009-07-08 |
| 1710126388 | Muhammad Salman Ul Haq | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2009-02-05 |
| 1902819782 | Mark D Wilson | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-08-14 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.