Mark Gorton Wills, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G63295 Issued in CA

Practice address

347 Andrieux Street
Sonoma, CA 95476-6811

Phone

(707) 935-5100

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwills@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big River Emergency Physicians Inc

  • Emergency Medicine Physician
  • Hollister, CA
  • NPI 1033501168
  Medicare reassignment NPD
• San Francisco Emergency Medical Associates

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1134110661
  Medicare reassignment NPD
• Regional Radiological Associates, Inc. a Medical Group

  • Diagnostic Radiology Physician
  • Redding, CA
  • NPI 1649202888
  NPD (past)
• Sonoma Valley Emergency Physician Medical Group, Inc

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1417133125
  NPD (past)
• Sonoma Valley Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Sonoma, CA
  • NPI 1568553972
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1063525715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10609",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850609",
            "telephone_number": "877-818-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ANDRIEUX STREET",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766811",
            "telephone_number": "707-935-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MARK",
        "middle_name": "GORTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G63295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G632950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Eleanor Warnock-Brooks, MFT AND LEP
• Kenneth Waters, RN, PHN
• Noah D Weiss, MD
• Deborah West
• William Raaka, M.D. Inc.
• Wirick Chiropractic Care
• Brian Eugene Wirick, DC
• Aaron Matthew Wong, D.D.S.
• Cherise Joy Wong, D.D.S.
• Richard Ken Wong, D.D.S.

• Emergency Medicine Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.