MR. MARK WILSON (NPI# 1750736088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750736088 |
| Entity Type | Individual |
| Full Name | MR. MARK WILSON |
| Practice Address |
5313 Ogden St Philadelphia PA 19139-1438 |
| Practice Telephone | 2156009477 |
| Practice Fax Number | 2159218499 |
| Mailing Telephone | 2156009477 |
| Mailing Fax Number | 2159218499 |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A-6418104 | PA | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1679660682 | Mark Wilson | Emergency Medicine | 2801 Franciscan Drive, St. Joseph's Regional Health System- Emergency Dept., Bryan, TX 77802 | 2006-10-10 |
| Street Address |
5313 OGDEN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544659 | Mwe Transport Inc | Non-emergency Medical Transport (VAN) | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| 1083031496 | Neuro Source Diagnostics, Inc | Clinic/Center | 9276 Jamison Ave, Unit A, Philadelphia, PA 19115-4281 | 2014-03-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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| 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.