DAVID W WILCOX (NPI# 1124040712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124040712 |
| Entity Type | Individual |
| Full Name | DAVID W WILCOX |
| Credential | MD |
| Practice Address |
1611 Anne St Nw Bemidji MN 56601-5114 |
| Practice Telephone | 2183335351 |
| Mailing Telephone | 2183335351 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31971 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 669388100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912671 | David Kerr Wilcox | Psychologist | 55 Brantwood Rd, Arlington, MA 02476-8003 | 2018-05-10 |
| 1538128426 | David Arthur Wilcox | Dentist | 9045 Via Amorita, Downey, CA 90241-2749 | 2006-03-21 |
| 1679045199 | David Robert Wilcox | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2018-12-21 |
| 1730660820 | David Wilcox | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2018-08-27 |
| 1861758377 | David Arthur Wilcox Jr. | Counselor | 5925 Imperial Pkwy, Suite 128, Mulberry, FL 33860-8476 | 2012-04-09 |
| 1760766729 | David J Wilcox | Dentist | 1920 S Russell St, Missoula, MT 59801-6624 | 2011-10-07 |
| 1508189960 | David T. Wilcox | Pharmacist | 117 E Main St, Westfield, NY 14787-1310 | 2010-03-12 |
| 1982739686 | David James Wilcox | Massage Therapist | 1301 N Pines Rd, Spokane Valley, WA 99206-4964 | 2007-02-22 |
| 1871516062 | David Allen Wilcox | Counselor | 2600 Denali St, Suite 450, Anchorage, AK 99503 | 2006-07-26 |
| 1730155714 | David E Wilcox | Emergency Medicine | 28 Crescent St, Middletown, CT 06457-3654 | 2006-02-28 |
| Street Address |
1611 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790752905 | Valerie Louise Fox | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-03-07 |
| 1336775717 | Shelly Marie Mahowald | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2020-03-18 |
| 1124517511 | Kelsey Lucia Sjogren | Registered Nurse | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2018-05-01 |
| 1023461100 | Tinuade Olukemi Okoro | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-07-13 |
| 1205297512 | Alison Elizabeth Hanson | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-03-14 |
| 1568861607 | Megan Hansen | Social Worker | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-08-14 |
| 1538571468 | Michael Jaje | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-05-27 |
| 1265842199 | Prabha Nanjundamurthy Dakshayini | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-04-30 |
| 1912325713 | Pamela Skon | Social Worker | 1611 Anne St Nw, Route 13206, Bemidji, MN 56601-5114 | 2014-03-31 |
| 1346592680 | Lucas K Genereux | Optometrist | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861620981 | Omokhuale Omokhodion | Family Medicine | 1233 34th Street South West, Bemidji, MN 56601 | 2009-06-26 |
| 1205942158 | Diane Mountain Pittman | Family Medicine | 521 Minnesota Ave Nw, Bemidji, MN 56601-3024 | 2006-08-22 |
| 1952361636 | Richard Lowell Olson | Family Medicine | 1705 Anne St Nw # 5678, Bemidji, MN 56601-6151 | 2006-03-25 |
| 1790752905 | Valerie Louise Fox | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-03-07 |
| 1285171223 | Daniel Ewen Wheeler | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2017-01-29 |
| 1124476049 | Jessica Lynn Stay | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2016-06-01 |
| 1538571468 | Michael Jaje | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-05-27 |
| 1588074124 | Francis Moraleda | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2014-05-05 |
| 1023350949 | Terry Joseph Luma | Family Medicine | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2013-03-18 |
| 1003112657 | Vijay Kiran Jayanti | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2011-01-31 |
| Find all providers in BEMIDJI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.