DR. MICHAEL ROBERT WILCOX (NPI# 1801814504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801814504 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT WILCOX |
| Credential | MD |
| Practice Address |
310 1st Ave Nw New Prague MN 56071-1403 |
| Practice Telephone | 9527583090 |
| Practice Fax Number | 9527588053 |
| Mailing Telephone | 9527583090 |
| Mailing Fax Number | 9527588053 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20837 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20837 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 420872200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849808 | Michael A. Wilcox | Dentist | 7170 Hwy 49, Lotus, CA 95651-0944 | 2009-10-29 |
| 1447880414 | Michael Lee Wilcox | Pharmacist | Landstuhl Regional Medical Center, Bldg 3767 Patterson Road, Landstuhl, RHEINLAND-PFALZ 66849 | 2020-01-18 |
| 1619426046 | Michael Warren Wilcox | Counselor | 1622 4th St, Santa Rosa, CA 95404-4020 | 2016-09-27 |
| 1285719724 | Michael Dean Wilcox | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2006-10-25 |
| 1891892683 | Michael David Wilcox | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-09-20 |
| 1689618803 | Michael G. Wilcox | Surgery | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2006-06-16 |
| 1881668655 | Michael J Wilcox | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2006-02-16 |
| 1053391771 | Michael B Wilcox | Ophthalmology | 4360 Washington Blvd, Ogden, UT 84403 | 2006-01-19 |
| Street Address |
310 1ST AVE NW |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| 1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
| 1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
| 1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
| 1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
| 1285728352 | Joel Gary Erickson | Chiropractor | 314 Main St E Suite 2, New Prague, MN 56071 | 2006-10-03 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1275195737 | Mosaic Family Services, Ltd. | Counselor | 1405 East Main Street, New Prague, MN 56071 | 2019-07-05 |
| 1225396492 | Mary F Taylor | Dietitian, Registered | 301 2nd St Ne, New Prague, MN 56071 | 2012-04-25 |
| Find all providers in zip 56071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339426 | Troy D Hanson | Family Medicine | 905 Philipp Pkwy, New Prague, MN 56071-2046 | 2006-06-30 |
| 1942245881 | Sage Weight and Wellness Pa | Family Medicine | 210 Main St W, Suite 130, New Prague, MN 56071-2335 | 2006-06-17 |
| 1720034234 | John D Cervenka | Family Medicine | 301 Main St E, Suite 1, New Prague, MN 56071-1803 | 2006-05-26 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1801887609 | Carl Everett Burkland | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-10-31 |
| 1659710291 | David R. Dare | Family Medicine | 301 2nd St Ne, New Prague, MN 56071-1709 | 2013-06-17 |
| 1518124239 | Heather Hamernick | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2008-05-20 |
| 1447424924 | Kristin E. Tiegs | Family Medicine | 301 Main St E, New Prague Medical Clinic, New Prague, MN 56071-1803 | 2008-04-16 |
| 1902093768 | John Edward Tieben | Family Medicine | 301 2nd St Ne, New Prague, MN 56071 | 2007-09-26 |
| 1841212677 | Jean E Craig | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-07-24 |
| Find all providers in NEW PRAGUE | ||||
| City | NEW PRAGUE |
| Zip Code | 56071 |
Please comment or provide details below to improve the information on DR. MICHAEL ROBERT 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.