Mark S Willner MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK S WILLNER MD PA

Practice address

14201 W Sunrise Blvd
Suite 208
Sunrise, FL 33323-3207

Phone

(954) 851-9690

Fax

(954) 851-9688

NPI assigned

Aug 20, 2007

Last updated

Jun 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark S. Willner, M.D.NPI 1831115674

Title

President

Phone

(954) 851-9690

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Steven Willner, M.D.

  • Psychiatry Physician
  • Sunrise, FL
  • NPI 1831115674
  Authorized official Same address or phone
• Krithika Sreedhar Iyer, MD

  • Child & Adolescent Psychiatry Physician
  • Tamarac, FL
  • NPI 1588753438
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1760675193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 WINDMILL LAKES RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322107",
            "telephone_number": "954-851-9690",
            "fax_number": "954-851-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD",
            "address_2": "SUITE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-851-9690",
            "fax_number": "954-851-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S WILLNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WILLNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-851-9690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynold Guevara Mariano
• Marie Star, Inc. (Stuie Manor)
• Edgar A. Marin, MD
• Kayla Marin
• Mark P Caruso, OD, PA
• Francine Marks-Weinstein, L.M.H.C.
• Marmelyaam LLC
• Heather Marolda, MSW
• Graciela P Marques
• Ynaira Magaly Marrero Torres

• Psychiatry Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.