Mark V Wilson (NPI# 1124110168, PAC ID# 8729036330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1124110168 |
| PAC ID by PECOS | 8729036330 |
| Professional Enrollment ID | I20050111000333 |
| Full Name | Mark V Wilson |
| Organization Legal Name | ANESTHESIA WEST PC |
| Address |
707 N 190th Plz Elkhorn NE 68022-3974 |
| Phone Number | 4023544000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4789596834 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 N 190th Plz, Elkhorn, NE 68022-3974 | 4023544000 | ANESTHESIA WEST PC |
| 8303 Dodge St, Omaha, NE 68114-4108 | 4023904000 | ANESTHESIA WEST PC |
| 8303 Dodge St, Methodist Hospital, Omaha, NE 68114-4108 | 4023544000 | ANESTHESIA WEST PC |
| Organization Legal Name | ANESTHESIA WEST PC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley K Hubka | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Douglas E Rennels | Anesthesiology | Anesthesia West PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Kent T Hultquist | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Stephen L Hosman | Anesthesiology | Anesthesia West PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Michael M Grubb | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| John C Peterson | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Rebecca C Milliken | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Haley R Mcmillin | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Dian J Hofferber | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Andrew H Mcmillin | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Street Address |
707 N 190TH PLZ |
| City | ELKHORN |
| State | NE |
| Zip | 68022-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley K Hubka | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Kent T Hultquist | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Michael M Grubb | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| John C Peterson | Anesthesiology | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Rebecca C Milliken | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Haley R Mcmillin | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Dian J Hofferber | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Andrew H Mcmillin | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| James L Ballentine Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Amanda J Nelson | Certified Registered Nurse Anesthetist (crna) | Anesthesia West PC | 707 N 190th Plz, Elkhorn, NE 68022-3974 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis P Tierney | Cardiovascular Disease (cardiology) | Alegent Creighton Clinic | 1130 N 204th Ave, Elkhorn, NE 68022-1849 |
| Allan D Wilsey | Family Practice | Alegent Creighton Clinic | 1130 N 204th Ave, Elkhorn Clinic, Elkhorn, NE 68022-1849 |
| James D Abel | Chiropractic | 20316 Wirt St, Elkhorn, NE 68022-2696 | |
| Marcus S Kirkpatrick | Diagnostic Radiology | Plains Radiology Services PC | 21114 Cedar St, Elkhorn, NE 68022-2741 |
| Duane E Wade | Physical Therapy | Athletico Excel Nebraska LLC | 1303 S 204th St, Excel Physical Therapy, Elkhorn, NE 68022-2880 |
| Lisa J Swanson | Physical Therapy | Athletico Excel Nebraska, LLC | 1303 S 204th St, Excel Physical Therapy, Elkhorn, NE 68022-2880 |
| Edward P Montanez | Family Medicine | Skyline Medical Center, P.C. | 1908 N 203rd St, Suite 2, Elkhorn, NE 68022-2889 |
| Jill R Sobczyk | Physician Assistant | Skyline Medical Center, P.C. | 1908 N 203rd St, Suite 2, Elkhorn, NE 68022-2889 |
| Amy S Isherwood | Physical Therapy | Nebraska Orthopaedic Physical Therapy PC | 1515 S 204th St, Suite 105, Elkhorn, NE 68022-2974 |
| Lee A Mcmahon | Physical Therapy | Nebraska Orthopaedic Physical Therapy PC | 1515 S 204th St, Suite 105, Elkhorn, NE 68022-2974 |
| Find all physicians in zip 68022 | |||
| City | ELKHORN |
| Zip Code | 68022 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ELKHORN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Mark V Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.