MARK E WILSON (NPI# 1881608800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881608800 |
| Entity Type | Individual |
| Full Name | MARK E WILSON |
| Credential | CRNA |
| Practice Address |
2055 N Main St Tooele UT 84074-9819 |
| Mailing Address |
9895 Eden Crest Rd South Jordan UT 84095-3011 |
| Practice Telephone | 4358433600 |
| Mailing Telephone | 8012546169 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3110304406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE PTAN | 000061222 | 01 |
| 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 |
2055 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-9819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459479 | James Thomas Webber | Radiology | 2055 N Main St, Tooele, UT 84074-9819 | 2005-07-05 |
| 1992331334 | Ryan Michael Tullis | Emergency Medical Technician, Paramedic | 2055 N Main St, Tooele, UT 84074-9819 | 2020-03-17 |
| 1568908929 | Breann Nicole Banford | Registered Nurse | 2055 N Main St, Tooele, UT 84074-9819 | 2017-01-10 |
| 1467693473 | Cory Ann Hansen | Dietitian, Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2009-03-20 |
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
| 1477753705 | Tooele Hospital Corporation Inc | Ambulance | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-24 |
| 1841401155 | Mir-mustafa Mir-kasimov | Internal Medicine | 2055 N Main St, Tooele, UT 84074-9819 | 2007-05-25 |
| 1568597763 | Ronald Scott Overy | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-21 |
| 1942345764 | Alan M. Layton | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-20 |
| 1730233735 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114011905 | Matthew A. Smith | Nurse Anesthetist, Certified Registered | 2055 N Main St., Tooele, UT 84074 | 2006-10-03 |
| 1972683498 | Dean Dennis Severson | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-10-17 |
| 1467463257 | Robin B. Bradshaw | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074 | 2006-08-10 |
| 1518972280 | Deseret Peak Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-07-30 |
| 1720092752 | Kyle H Jones | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-07-27 |
| 1518931344 | Annette S Proctor | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1083223523 | Mt Olympus Anesthesia | Nurse Anesthetist, Certified Registered | 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 | 2020-07-30 |
| 1922627975 | Nic-sedation Pllc | Nurse Anesthetist, Certified Registered | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-09 |
| 1871139972 | Suzanne Enos Tremblay | Nurse Anesthetist, Certified Registered | 1051 E 100 N, Lindon, UT 84042-2268 | 2019-11-23 |
| 1629638101 | Cloud Nine Sedations | Nurse Anesthetist, Certified Registered | 5465 Aspen Meadow Ln, Mountain Green, UT 84050-6766 | 2019-06-18 |
| 1558927376 | Rocky Point Anesthesia | Nurse Anesthetist, Certified Registered | 6811 Firth Farm Rd, South Weber, UT 84405-7193 | 2019-05-16 |
| 1083120059 | Dallin Marchant | Nurse Anesthetist, Certified Registered | 1954 S 2600 E, Slc, UT 84108-3334 | 2017-12-28 |
| 1477068294 | Michael G Bergeson | Nurse Anesthetist, Certified Registered | 136 W 1300 North Cir, Centerville, UT 84014-1400 | 2017-12-04 |
| 1356886832 | Jeremy Henrie | Nurse Anesthetist, Certified Registered | 10660 S Rembrandt Ln, Sandy, UT 84070-5224 | 2016-12-20 |
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
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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.