Mark Douglas Wilson, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD.204547 Issued in LA

Practice address

216 W Union St
Ste. a
Minden, LA 71055-3216

Phone

(318) 299-6334

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Indiana University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegiance Home Health of Northwest la Home health agency, Minden, LA, CCN 197211
• Louisiana Homecare/ Springhill Home health agency, Springhill, LA, CCN 197776
• Minden Medical Center Hospital, Minden, LA, CCN 190144
• Springhill Medical Center Hospital, Springhill, LA, CCN 190088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilson_dr_mark_d@yourcarecommunity.org
• Direct secure messaging: mark.wilson.1@3681.direct.athenahealth.com

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.

• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764
  Medicare reassignment Care Compare group NPD
• Minden Physician Practices LLC

  • Family Medicine Physician
  • Minden, LA
  • NPI 1538432711
  NPD
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Haughton, LA
  • NPI 1699392589
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Home Health Care, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1487625455
  Care Compare affiliation
• CLHG - Minden, LLC

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation
• Louisiana Homecare of Minden, LLC

  • Home Health Agency
  • Springhill, LA
  • NPI 1225085111
  Care Compare affiliation
• Springhill Medical Services, Inc.

  • General Acute Care Hospital
  • Springhill, LA
  • NPI 1275506115
  Care Compare affiliation
• Springhill Medical Services, Inc.

  • Primary Care Clinic/Center
  • Sarepta, LA
  • NPI 1699191999

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1235399163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 COLONEL A.P. KOUNS DR.",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115",
            "telephone_number": "574-329-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W UNION ST",
            "address_2": "STE. A",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553216",
            "telephone_number": "318-299-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "MD.204547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Parker Williams, PA
• Patricia Gal Williams, LCSW
• Rosalyn Williams, MA
• Stephanie K Williams, FNP-C
• Willis Consulting
• Anjill Winzer
• Alexis Dione Young, LCSW
• Deborah R Youngblood, LCSW

• Sports Medicine (Orthopaedic Surgery) Physician in Minden, LA
• Providers in Minden, LA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.