GLENN LOCKHART WILCOX (NPI# 1720141286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720141286 |
| Entity Type | Individual |
| Full Name | GLENN LOCKHART WILCOX |
| Credential | DOM |
| Practice Address |
5353 Wyoming Blvd Ne Suite 4 Albuquerque NM 87109-3132 |
| Practice Telephone | 5057714998 |
| Mailing Telephone | 5057714998 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 34RX2 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659443935 | Glenn Joseph Wilcox | Podiatrist | 3300 Douglas Ave, Dallas, TX 75219 | 2006-11-14 |
| Street Address |
5353 WYOMING BLVD NE SUITE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609280536 | Karri Hauser | Massage Therapist | 5353 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87109-3132 | 2014-06-18 |
| 1538573027 | Sol State Massage | Clinic/Center | 5353 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87109 | 2014-06-12 |
| 1275708935 | Quilted Care Ltd. Co. | Assisted Living Facility | 5353 Wyoming Blvd Ne, Suite A, Albuquerque, NM 87109-3132 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1265871495 | Mary None Birdsong | General Practice | 3901 Indian School Rd Ne Apt A207, Albuquerque, NM 87110-3855 | 2013-06-20 |
| 1194168617 | Michelle Zielinski | General Practice | Msc Radiology 1 University of New Mexico, Albuquerque, NM 87131 | 2013-04-15 |
| 1538424031 | Michele Sharifzadeh Cox | General Practice | 1026 Vassar Dr Ne, Albuquerque, NM 87106-2631 | 2012-07-10 |
| 1992084008 | John R. Vigil, Md, LLC | General Practice | 3150 Carlisle Blvd Ne Ste 106, Albuquerque, NM 87110-1680 | 2011-08-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on GLENN LOCKHART WILCOX.
| 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.