DR. LORI L WILCOX (NPI# 1528179314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528179314 |
| Entity Type | Individual |
| Full Name | DR. LORI L WILCOX |
| Credential | MD |
| Practice Address |
5700 Bottineau Blvd #210 Crystal MN 55429-3183 |
| Practice Telephone | 7635877000 |
| Practice Fax Number | 7635877015 |
| Mailing Telephone | 7635877000 |
| Mailing Fax Number | 7635877015 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 30782 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 426785100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194060715 | Lori Wilcox | Non-emergency Medical Transport (VAN) | 1010 Dixie Hwy, Ste. 300, Chicago Heights, IL 60411-2663 | 2012-12-07 |
| Street Address |
5700 BOTTINEAU BLVD #210 |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55429-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154786283 | North Memorial Health Care | Clinic/Center | 5700 Bottineau Blvd, Crystal, MN 55429-3183 | 2015-12-16 |
| 1093184533 | Ofer Barniv | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2015-09-15 |
| 1326462292 | Sara Lynn Budhoo | Physician Assistant | 5700 Bottineau Blvd, Crystal, MN 55429 | 2014-02-12 |
| 1407289754 | Lisa Hoium | Physical Therapist | 5700 Bottineau Blvd, Suite 200, Crystal, MN 55429-3183 | 2013-08-09 |
| 1760733752 | Elizabeth Janet Albright | Family Medicine | 5700 Bottineau Blvd, Suite #100, Crystal, MN 55429-3183 | 2012-10-01 |
| 1124377825 | Kimberly Ann Plessel | Dietitian, Registered | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429-3183 | 2012-09-10 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1194950303 | Ruby Waiyee Tam | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2009-05-18 |
| 1316111768 | Jennifer J. Riley | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2008-04-16 |
| 1437354099 | Matthew Michael Palmer | Obstetrics & Gynecology | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429 | 2007-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437354099 | Matthew Michael Palmer | Obstetrics & Gynecology | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429 | 2007-06-15 |
| 1942351168 | Robert A Olson | Obstetrics & Gynecology | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2007-01-15 |
| 1063523850 | Jon S Nielsen | Obstetrics & Gynecology | 5700 Bottineau Blvd, 210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1124139910 | Christine Marie Sarkinen | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1982715777 | Lisa M Shakerin | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1780795575 | Jillian Marie Hallstrom | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1083725873 | James R Krause | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1790896587 | Shannon E Harris | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-08-31 |
| 1285663112 | Sarah Manalansan Manneh | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-07-02 |
| 1720015316 | Mary K Martinie | Obstetrics & Gynecology | 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | 2006-06-27 |
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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.