DR. MARK D. WILKERSON


Address: 1 Hurley Plz, Flint, MI 48503-5902
Phone: 8102629429

DR. MARK D. WILKERSON (NPI# 1023114287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023114287
Entity Type Individual
Full Name DR. MARK D. WILKERSON
Credential M.D.
Practice Address 1 Hurley Plz
Flint
MI 48503-5902
Mailing Address 1 Hurley Plz
5th Floor S.o.n.
Flint
MI 48503-5902
Practice Telephone 8102629429
Practice Fax Number 8102629229
Mailing Telephone 8102629353
Mailing Fax Number 8107600440
Enumeration Date 2006-09-15
Last Update Date 2014-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
4301063412 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3423682 05
MI BLUE SHIELD 0B51090 01

Other Providers MARK WILKERSON

NPI Name Taxonomy Address Enumeration
1083258107 Mark Wilkerson Counselor 6252 Deep Earth Ln, Columbia, MD 21045-2565 2019-10-31
1780232231 Mark Andrew Wilkerson Counselor 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 2019-08-28
1477641108 Mark Howard Wilkerson Ophthalmology 400 S Loop 336 W, Conroe, TX 77304-3302 2006-10-10

Office Location

Street Address 1 HURLEY PLZ
City FLINT
State MI
Zip Code 48503-5902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578567053 Robert Welch Obstetrics & Gynecology 1 Hurley Plz, Flint, MI 48503-5902 2005-06-13
1114526076 Vin Zephyr Swift Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2020-10-21
1245843275 Bashir Imam Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-08-28
1639789837 Hadeel Allam Pediatrics 1 Hurley Plz, Flint, MI 48503-5902 2020-08-03
1629687637 Tazeen Qureshi Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-07-26
1831707157 Samira Ali Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-07-22
1629695218 Jillian Arlene Morris Nurse Practitioner 1 Hurley Plz, Flint, MI 48503-5902 2020-06-29
1609492164 Monica Rani Julapelly Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-06-21
1992321830 Brittany Radler Nurse Practitioner 1 Hurley Plz, Flint, MI 48503-5902 2020-06-16
1073137071 Kirsten Nicole Bonifacio Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457971640 Flint Odyssey House Inc. Community/Behavioral Health 1219 Martin Luther King Avenue, Flint, MI 48503 2020-04-17
1891265476 Mary Margaret Woodruff Health Educator 411 E. Third St Suite 2, Flint, MI 48503 2018-11-27
1669942223 Donna Jean Phelps Behavior Technician 2284 S Ballenger Highway, Flint, MI 48503 2018-11-27
1588150601 Dayonna Scott Social Worker Hope Network, 2830 Corunna Rd, Flint, MI 48503 2018-07-02
1801388020 Walgreen Co Durable Medical Equipment & Medical Supplies 2284 S Ballenger Hwy Ste F, Flint, MI 48503 2018-06-04
1134610504 Swathi Gorle Student in an Organized Health Care Education/Training Program Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 2018-05-22
1881128049 Kara Garr Registered Nurse 805 Tuuri Pl, Flint, MI 48503 2017-04-14
1518405638 Thomasinia Terrell Peer Specialist 422 W Fourth Ave, Flint, MI 48503 2017-02-09
1790231041 Roslyn Boyce Technician, Other 2213 E. Court Street, Flint, MI 48503 2016-08-28
1689120818 Yasmine Elhefnawy Student in an Organized Health Care Education/Training Program One Hurley Plaza 3d West, Flint, MI 48503 2016-08-28
Find all providers in zip 48503

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346486222 Flushing Road Urgent Care PC Emergency Medicine 1301 Flushing Rd, Flint, MI 48504-4710 2008-12-26
1790764553 Kavitha Baddam Emergency Medicine 1515 W Atherton Rd, Flint, MI 48507-5300 2006-01-11
1013919372 Stat Care PC Emergency Medicine 3921 Beecher Rd, Flint, MI 48532-3602 2005-06-01
1164505665 James E. Weber Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-20
1912096447 Eric M. Barach Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-12
1992894406 Michael D. Roebuck Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-12
1548359375 Peter J. Stoyanoff Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-12
1750479085 Patrick J. Hawley Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-11
1548358666 Franz M. Jaggi Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-11
1154419562 Hernan F. Gomez Emergency Medicine 1 Hurley Plz, Flint, MI 48503-5902 2006-10-11
Find all providers in FLINT

Competitor

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City FLINT
Zip Code 48503

Improve Information

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Dataset Information

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.

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