Provider Demographics
NPI:1225020621
Name:ABSHIER, WILMER MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILMER
Middle Name:MARK
Last Name:ABSHIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E PARRISH AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3222
Mailing Address - Country:US
Mailing Address - Phone:270-688-1200
Mailing Address - Fax:270-688-1204
Practice Address - Street 1:815 E PARRISH AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3222
Practice Address - Country:US
Practice Address - Phone:270-688-1200
Practice Address - Fax:270-688-1204
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16324207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100462910Medicaid
KY000000519332OtherANTHEM PIN - CHS INC.
KY6416324900Medicaid
KY6416324900Medicaid
KYP00406616Medicare PIN
KY3397736Medicare PIN