Mark B Williamson, MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

9700161 Issued in NC

Legal business name

MARK B WILLIAMSON, MD PA

Practice address

218 Old Mocksville Rd
Statesville, NC 28625-1930

Phone

(704) 838-7091

Fax

(704) 838-7093

NPI assigned

Oct 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Bascom Williamson, M.D.

Title

Owner

Phone

(704) 838-7091

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1053500785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870746",
            "telephone_number": "704-838-7091",
            "fax_number": "704-838-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-838-7091",
            "fax_number": "704-838-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B WILLIAMSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BASCOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-838-7091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9700161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE5245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manifest Family Services
• Christina Marie Mann, PHD, CRC, NCC, BCBA
• Joseph Stephen Manser III, M.A.
• Mario Zapata, M.D., P.C.
• Brandon Terrell Marion, MD
• Fred Marks, M.D.
• Mary Maikranz Marks, NP
• Larry N Marlin
• Gary Lynn Marshall, LCASA
• Angela Grace Marsk, LCSW

• Orthopaedic Surgery Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.