Wilmark Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WILMARK ANESTHESIA PLLC

Practice address

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Phone

(361) 985-1221

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Mark Sean Wilson, MD

Title

Owner

Phone

(361) 985-1221

Specialties & licenses 1

Addresses

Other names 1

• Mark Sean Wilson Other name

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1609539840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6696",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666696",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "361-985-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 State Highway 151",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514498",
            "country_code": "US",
            "telephone_number": "361-985-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILMARK ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-985-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Sean Wilson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mark Sean Wilson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Anne Williamson, BCBA
• Brittney Jones Willians
• Devonte Williford, PHARMD
• Shawntel Monique Carter Willis
• Kristin R. Wills, M.A., LPC, NCC
• Delise Wilridge
• Michelle Wilridge
• Angel Wilson
• Jeanne Wilson, PTA
• Kayla Renee Wilson, RLT

• Anesthesiology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.