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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD00042148 | WA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
11311 BRIDGEPORT WAY SW STE 309 |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-3078 |
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 |
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 |
Find all providers in zip 98499 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
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 |
Find all providers with the same taxonomy |
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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.