TODD MICHAEL WILLCOX


Address: 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078
Phone: 2539856630

TODD MICHAEL WILLCOX (NPI# 1417931007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417931007
Entity Type Individual
Full Name TODD MICHAEL WILLCOX
Credential M.D.
Practice Address 11311 Bridgeport Way Sw Ste 309
Lakewood
WA 98499-3078
Practice Telephone 2539856630
Practice Fax Number 2539856631
Mailing Telephone 2539856630
Mailing Fax Number 2539856631
Enumeration Date 2005-12-06
Last Update Date 2011-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
MD00042148 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1118041 05
WA STATE L&I 0261603 01
WA DEPT OF LABOR & INDUSTRY 198792 01
WA STATE L&I 0266417 01
WA STATE L&I 0251801 01

Office Location

Street Address 11311 BRIDGEPORT WAY SW STE 309
City LAKEWOOD
State WA
Zip Code 98499-3078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306288899 Amy Elizabeth Kupper Psychologist 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 2013-07-24
1811208705 David W Timme Otolaryngology 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 2010-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275159592 Sea Mar Community Health Centers Clinic/Center 5700 100th Street Se, Suite 510, Lakewood, WA 98499 2020-06-23
1568018828 Heather Leigh Andrade Behavioral Analyst 6210 75th St W Ste 100, Lakewood, WA 98499 2019-08-13
1043870876 Seoul Chinese Herbs Inc Acupuncturist 8705 S. Tacoma Way, Lakewood, WA 98499 2019-06-14
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982079927 John Richard Alger Surgery 2323 Crystal Springs Rd W, University Place, WA 98466-2822 2015-12-02
1558752741 Cole Aesthetic Center Surgery 9800 Levin Rd Nw Ste 101, Silverdale, WA 98383-7849 2015-02-10
1730524596 Christopher Michael Bates Surgery 31852 Pacific Coast Hwy Suite 401, Laguna Beach, WA 92651 2013-05-07
1538401534 Sattler Plastic Surgery Surgery 6100 219th St Sw Ste 290, Mountlake Terrace, WA 98043-2222 2013-03-18
1265744585 Thomas D Gant Surgery 9006 Ne 116th Pl, Kirkland, WA 98034-6115 2010-07-02
1497928691 Gabriel Plastic Surgery, Ps Surgery 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 2008-04-08
1255481446 John Anthony Adams Surgery 530 S Cowley St Ste 180, Spokane, WA 99202-1316 2007-01-11
1821154790 Alexander Gougoutas Surgery 1560 N 115th St Ste 206, Seattle, WA 98133-8414 2006-12-28
1972694743 Brian H. Windle Surgery 7630 115th Pl Ne, Kirkland, WA 98033-6737 2006-09-27
1699337865 Mert Calis Surgery 4800 Sand Point Way Ne, O.b.9.520, Seattle, WA 98105 2019-07-08
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

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.

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