DR. MARK R WILSON (NPI# 1831455450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831455450 |
| Entity Type | Individual |
| Full Name | DR. MARK R WILSON |
| Credential | M.D. |
| Practice Address |
22971 Highway 76 E Clinton SC 29325-7529 |
| Mailing Address |
655 W 8th St Uf College of Medicine - Jacksonville 2nd Floor Jacksonville FL 32209-6511 |
| Practice Telephone | 8648333046 |
| Practice Fax Number | 8648331711 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 51989 | SC | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 24897 | MS | 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 |
22971 HIGHWAY 76 E |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396793873 | Phillip H Milner | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-05-05 |
| 1437380805 | Giridhar Gundu | Physical Medicine & Rehabilitation | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2009-08-04 |
| 1720295793 | Palmetto Bone & Joint Pa | Physical Therapist | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2007-05-17 |
| 1275740904 | Tamara Jill Strike-nelson | Occupational Therapist | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2007-05-16 |
| 1669490405 | James A. Loging | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-07-18 |
| 1972552719 | William S Owens Jr. | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-05-09 |
| 1053360271 | John M Hibbitts | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1285980821 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 3130 Hayes Ave, Clinton, OK 73601-3601 | 2012-08-01 |
| 1396815379 | Samuel Jobe Wilder Jr. | Orthopaedic Surgery | 103 Ellicot Burn, Clinton, MS 39056-6217 | 2006-11-08 |
| 1932290798 | Orthotennessee, PC | Orthopaedic Surgery | 2130 N Charles G Seivers Blvd, Clinton, TN 37716-6705 | 2006-09-27 |
| 1790882777 | William Alexander Huff | Orthopaedic Surgery | 520 Beaman St, Clinton, NC 28328-2602 | 2006-09-20 |
| 1689623712 | Washington Orthopaedic & Knee Clinic | Orthopaedic Surgery | 7801 Old Branch Avenue, Suite 409, Clinton, MD 20635 | 2006-05-08 |
| 1396793873 | Phillip H Milner | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-05-05 |
| 1124526355 | Huff Orthopaedic Group, P.a. | Orthopaedic Surgery | 520 Beaman St, Clinton, NC 28328-2602 | 2018-01-23 |
| 1588051155 | Premier Orthopedics, P.a. | Orthopaedic Surgery | 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 | 2015-04-22 |
| Find all providers in CLINTON | ||||
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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.