DR. MARK J WILKINSON (NPI# 1588619738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588619738 |
| Entity Type | Individual |
| Full Name | DR. MARK J WILKINSON |
| Credential | MD |
| Practice Address |
101 Med Tech Pkwy Suite 305 Johnson City TN 37604-4007 |
| Mailing Address |
Po Box 5576 Johnson City TN 37602-5576 |
| Practice Telephone | 4239266266 |
| Practice Fax Number | 4239267599 |
| Mailing Telephone | 4239266266 |
| Mailing Fax Number | 4239267599 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 27138 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD27138 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3096514 | 05 | |
| NC | 890544Q | 05 | |
| RR MEDICARE | 930067763 | 01 | |
| VA | 1588619738 | 05 | |
| KY | 64068216 | 05 | |
| TN | 3096515 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386028611 | Mark Allen Wilkinson | Physical Therapy Assistant | 4621 Us Highway 59, Grove Ok 74344, Grove, OK 74344-4237 | 2015-07-16 |
| 1083020622 | Mark Ford Wilkinson | Surgery | 324 E 10th Ave Ste 200, Salt Lake City, UT 84103-2869 | 2014-07-03 |
| 1326235623 | Mark Nathaniel Wilkinson | Internal Medicine | 400 Savannah Rd, Suite B, Lewes, DE 19958-1499 | 2007-10-01 |
| 1437355567 | Mark Anthony Wilkinson | Dentist | 1115 W Friendly Ave, Greensboro, NC 27401-6137 | 2007-06-25 |
| 1568463826 | Mark E Wilkinson | Optometrist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-08-09 |
| Street Address |
101 MED TECH PKWY SUITE 305 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830536 | Fernando Bendfeldt | Psychiatry & Neurology | 101 Med Tech Pkwy, Ste 407, Johnson City, TN 37604-4000 | 2005-05-23 |
| 1558669986 | Caitlen M Petschke | Physician Assistant | 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 | 2011-03-09 |
| 1023319290 | John Argerson | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2010-11-04 |
| 1962655696 | Pain Medicine Associates, P.C. | Psychologist | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2008-10-28 |
| 1679722052 | Michael M Wilkinson | Anesthesiology | 101 Med Tech Pkwy, Johnson City, TN 37604-4007 | 2008-09-10 |
| 1548422355 | Pma Surgery Center LLC | Psychologist | 101 Med Tech Pkwy, Suite 205, Johnson City, TN 37604-4007 | 2008-07-02 |
| 1942475439 | Tri Cities Esthetics, Inc. | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2008-04-25 |
| 1821158031 | Alison Repass Herrig | Nurse Practitioner | 101 Med Tech Pkwy, Suite 405, Johnson City, TN 37604-4007 | 2006-12-11 |
| 1053496901 | Mountain States Health Alliance | Durable Medical Equipment & Medical Supplies | 101 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-4007 | 2006-10-26 |
| 1417031071 | Smokie Mountain Dialysis Inc. | Clinic/Center | 101 Med Tech Pkwy, Suite 406, Johnson City, TN 37604-4007 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775468 | Luke Spencer | Family Medicine | 917 W. Walnut Street, Johnson City Family Medicine Center, Johnson City, TN 37604 | 2016-04-22 |
| 1184043853 | Shivali M Patel | Family Medicine | 400 N State of Franklin Rd Fl 4, Johnson City, TN 37604-6035 | 2014-04-10 |
| 1306062542 | Debra J. Uncapher | Family Medicine | 1409 W Market St Ste 108, Johnson City, TN 37604-6005 | 2007-04-17 |
| 1609947944 | Daniela Pogan Wright | Family Medicine | 401 East Main Strette, Johnson City, TN 37601-4877 | 2006-11-10 |
| 1518978402 | Vance Cleveland Shaw | Family Medicine | 205 High Point Dr, Johnson City, TN 37601-1503 | 2006-08-10 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1063459410 | State of Franklin Healthcare Associates Pllc | Family Medicine | 2528 Wesley St, Suite 2, Johnson City, TN 37601-1724 | 2006-06-01 |
| 1316995491 | Robert Elsworth Grindstaff | Family Medicine | 2203 Mckinley Rd, Ste 107, Johnson City, TN 37604-6893 | 2006-05-04 |
| 1184680787 | Paul E Moran IIi | Family Medicine | 1321 Sunset Dr, Suite 22, Johnson City, TN 37604-3698 | 2006-04-22 |
| 1295799120 | Guy W Robins | Family Medicine | 101 Med Tech Pkwy Ste 100, Johnson City, TN 37604-4006 | 2006-04-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. MARK J WILKINSON.
| 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.