DR. MARK C WILSON (NPI# 1407808793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407808793 |
| Entity Type | Individual |
| Full Name | DR. MARK C WILSON |
| Credential | MD |
| Practice Address |
Children's Hospital - Respiratory Medicine & Allergy 8200 Dodge Street Omaha NE 68114-4113 |
| Mailing Address |
Children's Hospital 8200 Dodge Street Omaha NE 68114-4113 |
| Practice Telephone | 4029555570 |
| Practice Fax Number | 4029555575 |
| Mailing Telephone | 4029555400 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | 17658 | NE | Allopathic & Osteopathic Physicians |
| X | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
17658 | NE | Allopathic & Osteopathic Physicians |
| X | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
17658 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS | 94533 | 01 |
| IA | 1926246 | 05 | |
| MIDLANDS CHOICE | 662 | 01 | |
| SD | 7781510 | 05 | |
| NE | BCBS | 31219 | 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 |
CHILDREN'S HOSPITAL - RESPIRATORY MEDICINE & ALLERGY 8200 DODGE STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326211889 | James L Friedlander | Allergy & Immunology | 2808 S 80th Ave Ste 210, Omaha, NE 68124-3253 | 2008-04-04 |
| 1104930932 | Againdra K Bewtra | Allergy & Immunology | 601 N 30th St Ste 5730, Omaha, NE 68131-2137 | 2006-08-18 |
| 1093707754 | Roger Hiro Kobayashi | Allergy & Immunology | 2808 S 80 Ave, Ste 210, Omaha, NE 68124-3253 | 2005-08-18 |
| 1518227859 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-21 |
| 1154680700 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-16 |
| 1326333220 | Joel Kent Van De Graaff | Allergy & Immunology | Emile @ 42nd St, Omaha, NE 68198-2055 | 2011-06-20 |
| 1073741815 | Sara Michelle May | Allergy & Immunology | Emile 42nd St, Omaha, NE 68198-0001 | 2009-07-01 |
| 1306089230 | Brian Thomas Kelly | Allergy & Immunology | 16929 Frances St Ste 101, Omaha, NE 68130 | 2009-04-07 |
| 1780727073 | George A Zieg | Allergy & Immunology | 16945 Frances St, Omaha, NE 68130-2312 | 2007-02-15 |
| 1659414597 | Midwest Allergy and Asthma Clinic, P.C. | Allergy & Immunology | 16945 Frances St, Omaha, NE 68130-2312 | 2007-02-14 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on DR. MARK C WILSON.
| 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.