DR. DAN C WILCOX (NPI# 1912900994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912900994 |
| Entity Type | Individual |
| Full Name | DR. DAN C WILCOX |
| Credential | M.D. |
| Practice Address |
124 E Rowan Ave Ste 202 Spokane WA 99207-1214 |
| Mailing Address |
124 E Rowan Ave Ste 202 Spokane WA 99207-1214 |
| Practice Telephone | 5094878000 |
| Practice Fax Number | 5094876333 |
| Mailing Telephone | 5094878000 |
| Mailing Fax Number | 5094876333 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD60187002 | WA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
01046852A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE RAILROAD | P00885647 | 01 |
| IN | 200137270A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699855148 | Dan E Wilcox Jr. | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2006-10-17 |
| Street Address |
124 E ROWAN AVE STE 202 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871994079 | Genasee Rose Weller | Massage Therapist | 124 E Rowan Ave Ste 202, Spokane, WA 99207-1214 | 2014-09-08 |
| 1871993501 | Cherri M Croff | Massage Therapist | 124 E Rowan Ave Ste 202, Spokane, WA 99207-1214 | 2014-08-29 |
| 1033149125 | John F Long | Physical Medicine & Rehabilitation | 124 E Rowan Ave Ste 202, Spokane, WA 99207-1214 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316978281 | Scott Edward Grosse | Physical Medicine & Rehabilitation | 801 W 5th Ave Ste 323, Spokane, WA 99204-2800 | 2006-07-06 |
| 1609387083 | James Leslie Foster | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Spokane, WA 99223 | 2017-10-12 |
| 1073724290 | Jamie Lee Lewis | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Bldg. A, Spokane, WA 99223-4942 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122339 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 11820 Ne Crestwood Dr Ste 100, Vancouver, WA 98684-5103 | 2018-11-08 |
| 1336511989 | Pain & Wellness Institute, Pllc | Physical Medicine & Rehabilitation | 819 Virginia Street, Unit 1805, Seattle, WA 98101 | 2015-10-22 |
| 1437397361 | Franciscan Medical Group | Physical Medicine & Rehabilitation | 1624 S. I St., Ste 205, Tacoma, WA 98405-5000 | 2009-01-30 |
| 1568635365 | Stephen M Dechter | Physical Medicine & Rehabilitation | 9915 Sandifur Pkwy Ste B, Pasco, WA 99301-8941 | 2008-04-12 |
| 1871777268 | Jason Gene Attaman | Physical Medicine & Rehabilitation | 1600 116th Ave Ne Ste 204, Bellevue, WA 98004-3056 | 2007-12-21 |
| 1003032186 | James A Williams Jr. | Physical Medicine & Rehabilitation | 7401 S Pine St, Suite B, Tacoma, WA 98409-5918 | 2007-04-17 |
| 1326061938 | Richard A Sandler | Physical Medicine & Rehabilitation | 21200 72nd Ave W, Edmonds, WA 98026-7700 | 2006-07-25 |
| 1184660029 | Jean You | Physical Medicine & Rehabilitation | 6917 W Grandridge Blvd Ste B, Kennewick, WA 99336 | 2006-06-21 |
| 1861486367 | Chan Sun Hwang | Physical Medicine & Rehabilitation | 9312 S Tacoma Way Ste 115, Lakewood, WA 98499-4474 | 2005-09-12 |
| 1386636934 | David L Heard | Physical Medicine & Rehabilitation | 21600 Hwy 99, Suite 255, Edmonds, WA 98026-8012 | 2005-08-19 |
| 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.