JOHN ROBERT WILLCOCKSON (NPI# 1750384715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750384715 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT WILLCOCKSON |
| Credential | M.D. |
| Practice Address |
35025 N. El Sendero Rd Cave Creek AZ 85331 |
| Practice Telephone | 6056618495 |
| Practice Fax Number | 6056650526 |
| Mailing Telephone | 6056618495 |
| Mailing Fax Number | 6056650526 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 17563 | NE | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 0840 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 36-3050195-18 | 05 | |
| SD | 6300040 | 05 | |
| SD | DAKOTACARE PROVIDER ID | 840 | 01 |
| SD | SD WELLMARK BLUE SHIELD I | 0001010 | 01 |
| NE | NE BLUE SHIELD ID | 22051 | 01 |
| NE | 36-3050195-12 | 05 | |
| NE | 36-305015-14 | 05 |
| Street Address |
35025 N. EL SENDERO RD |
| City | CAVE CREEK |
| State | AZ |
| Zip Code | 85331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310809 | Fernisha Kaysteine Brown | Registered Nurse | 5227 E. Carefree Hwy, Cave Creek, AZ 85331 | 2020-09-09 |
| 1558996538 | Arizona Dental Professionals, P.C. | Dentist | 5355 E Carefree Hwy Ste 102, Carefree, AZ 85331 | 2020-03-10 |
| 1649738352 | Teresa Michelle Colao | Specialist/Technologist | 5250 E Montgomery Road, Cave Creek, AZ 85331 | 2019-03-12 |
| 1154839546 | Ring Chiropractic, Ltd | Chiropractor | 7208 East Cave Creek Road, Ste. F, Carefree, AZ 85331 | 2018-01-19 |
| 1568900215 | Johnathan James Kuntz | Pharmacist | 5400 E. Carefree Highway, Cave Creek, AZ 85331 | 2017-02-02 |
| 1922558576 | Christi Porter | Speech-Language Pathologist | 5228 E Barwick Dr, Cave Creek, AZ 85331 | 2016-10-06 |
| 1720483423 | Cave Creek Dentistry, LLP | Dentist | 34317 N Cave Creek Road, Suite 103, Cave Creek, AZ 85331 | 2014-10-24 |
| 1417351479 | David Joseph Morris | Pharmacist | 28138 North Tatum Blvd, Cavecreek, AZ 85331 | 2014-10-20 |
| 1871845511 | Barbara S. Woodlief | Physical Therapy Assistant | 197 South Willard, Cottonwood, AZ 85331 | 2012-10-04 |
| 1811267560 | Negin Nickie Mohebbi | Pharmacist | 5400 E. Carefree Hwy, Cave Creek, AZ 85331 | 2012-01-11 |
| Find all providers in zip 85331 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1376057349 | K E Express Pllc | Ophthalmology | 16425 E Palisades Blvd Ste 102, Fountain Hills, AZ 85268-3754 | 2017-11-28 |
| 1891241964 | Arizona Retina Associates, Pllc | Ophthalmology | 6262 E Broadway Rd Ste 106, Mesa, AZ 85206-6101 | 2016-08-29 |
| 1417310855 | Michael Johnson | Ophthalmology | 729 N Ocotillo Ln, Gilbert, AZ 85233-3707 | 2016-04-02 |
| 1679936512 | Sravanthi Vegunta | Ophthalmology | 11023 N Saint Andrews Way, Scottsdale, AZ 85254-4801 | 2016-03-29 |
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1316332596 | M & M Eye Institute, Plc | Ophthalmology | 399 W Palomino Rd, Chino Valley, AZ 86323-5648 | 2015-04-03 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1982010773 | Phoenix Eye Group, LLC | Ophthalmology | 10250 N 92nd St Ste 105, Scottsdale, AZ 85258-4517 | 2014-07-01 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
| City | CAVE CREEK |
| Zip Code | 85331 |
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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.