MARK L WILLIAMSON


Address: 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136
Phone: 6195565002

MARK L WILLIAMSON (NPI# 1699743534) 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) 1699743534
Entity Type Individual
Full Name MARK L WILLIAMSON
Credential IDC
Practice Address 3325 Senn Road
Comdesron One Building 55 Second Floor
San Diego
CA 92136
Mailing Address Comdesron One 3325 Senn Road
Building 55 Second Floor
San Diego
CA 92136
Practice Telephone 6195565002
Practice Fax Number 6195565003
Mailing Telephone 6195565002
Mailing Fax Number 6195565003
Enumeration Date 2006-03-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MARK WILLIAMSON

NPI Name Taxonomy Address Enumeration
1851844260 Mark Joseph Williamson Student in an Organized Health Care Education/Training Program 8210 Floyd Curl Drive, Msc 8103, Ut Health Science Center At San Antonio, San Antonio, TX 78229 2016-08-02
1851341945 Mark J Williamson Dentist 4279 W Vienna Rd, Clio, MI 48420-9440 2006-05-11
1245369172 Mark Kevin Williamson Dentist 701 Main St., Britton, SD 57430-0213 2007-03-05
1679685929 Mark Bascom Williamson Orthopaedic Surgery 218 Old Mocksville Rd, Statesville, NC 28625-1930 2006-08-31
1760591028 Mark A Williamson Psychiatry & Neurology 5901 Long Dr, Houston, TX 77087-1003 2006-08-30

Office Location

Street Address 3325 SENN ROAD
COMDESRON ONE BUILDING 55 SECOND FLOOR
City SAN DIEGO
State CA
Zip Code 92136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467930164 Alexa Clifton Student in an Organized Health Care Education/Training Program 2525 Callagan Hwy, Fpo, AA 92136 2018-08-03
1235501321 Family Optometric Associates of California, Inc. Optometrist 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 2015-10-28
1457720427 Andres Bargados Santamaria IIi Military Health Care Provider 116 Cummings Rd, San Diego, CA 92136 2015-09-21
1932470374 Robert Bishop Beedles Jr. Military Health Care Provider 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 2012-01-17
1083771877 Brianna Leigh Rupp General Practice Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 2007-01-02
1396814836 Alberia Joseph Davis Military Health Care Provider Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 2006-11-07
1831275866 Roslyn Jones Jackson Nurse Practitioner 2450 Craven Streeet, San Diego, CA 92136 2006-10-31
1467423335 John M. Hintz Psychologist Branch Medical Clinic, Naval Station, San Diego, CA 92136 2006-01-30
1659341089 Kenichi Carrigan Preventive Medicine 3235 Albacore Alley, San Diego, CA 92136 2006-01-26
1174593784 Optometry-vision With Styles, Inc Optometrist 2260 Callagan Hwy, Building 3187b Ste 1, San Diego, CA 92136 2006-01-25
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1174130744 Daniel Carrera Military Health Care Provider 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 2020-09-28
1316551740 Kyle Bode Francis Military Health Care Provider 3149 Murray Ridge Rd, San Diego, CA 92123-2917 2020-09-02
1255945069 Jeremy Lee Military Health Care Provider 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 2020-08-31
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
1932711934 Alvaro Daniel Macias Military Health Care Provider 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 2020-08-20
1689286189 Charles Luke Morris Military Health Care Provider 1675 Beta Ct, San Diego, CA 92126-7060 2020-08-18
1255943635 Stephon Peyton Frost Military Health Care Provider 2654 Mendonca Dr, San Diego, CA 92110-4263 2020-08-18
1184235871 Jaden Sandi Military Health Care Provider Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 2020-08-14
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
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Competitor

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City SAN DIEGO
Zip Code 92136

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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