Mark G Wilson, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD030558E Issued in PA

Practice address

200 Village Dr
Greensburg, PA 15601-3783

Phone

(724) 837-9207

Fax

(724) 836-4274

NPI assigned

Aug 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1588673123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-837-9207",
            "fax_number": "724-836-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-837-9207",
            "fax_number": "724-836-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "MD030558E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Frederick Willison, DO
• Willowbrook Eye Care Associates, LLC (Willowbrook Eye Care Associates)
• Willowbrook Eye Care Associates, LLP (Willowbrook Eye Care)
• Cynthia J Wilson, O.D.
• John Stewart Wilson Jr., M.D.
• Megan Elizabeth Wilson, DO
• Regina Marie Wilson, RN
• Renee Falcon Wilson, CRNA
• Amy Winchell, PT
• Denise Winfield

• Occupational Medicine Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Occupational Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.