Johnna K Wilcox (NPI# 1205890811, PAC ID# 1153446265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205890811 |
| PAC ID by PECOS | 1153446265 |
| Professional Enrollment ID | I20100913001186 |
| Full Name | Johnna K Wilcox |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Address |
11603 State Ave Suite G Marysville WA 98271-8465 |
| Phone Number | 3606586800 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325100480 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| 500003 | SKAGIT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11603 State Ave, Suite G, Marysville, WA 98271-8465 | 3606586800 | PROVIDENCE HEALTH AND SERVICES-WA |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Physicians | 421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasneem Abbas Shikary | Otolaryngology | Providence Health and Services-wa | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 |
| Nicole Kraker | Nurse Practitioner | Providence Health and Services-wa | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 |
| Crystal L Blankinship | Clinical Social Worker | Providence Health and Services-wa | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1751 |
| Lorena Barajas | Nurse Practitioner | Providence Health and Services-wa | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 |
| Kim Quy V Nguyen | Nurse Practitioner | Providence Health and Services-wa | 19200 N Kelsey St, Monroe, WA 98272-1431 |
| Marianna Baghdasaryan | Nurse Practitioner | Providence Health and Services-wa | 13110 Bothell Everett Hwy, Everett, WA 98208-7202 |
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| David Keisho Su | Neurosurgery | Providence Health and Services-wa | 1717 13th St, Suite 401, Everett, WA 98201-1621 |
| David B Shanholtzer | Nurse Practitioner | Providence Health and Services-wa | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 |
| Laura Knapp Knapp | Clinical Social Worker | Providence Health and Services-wa | 1509 California St, Everett, WA 98201-3540 |
| Street Address |
11603 STATE AVE SUITE G |
| City | MARYSVILLE |
| State | WA |
| Zip | 98271-8465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer G Engstrom | Family Medicine | Providence Health and Services-wa | 11603 State Ave, Suite G, Marysville, WA 98271-8465 |
| James B Grierson | Family Medicine | Providence Health and Services-wa | 11603 State Ave, Suite G, Marysville, WA 98271-8465 |
| Sima G Mistry | Internal Medicine | Providence Health and Services-wa | 11603 State Ave, Suite G, Marysville, WA 98271-8465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth B Shotwell | Chiropractic | 17317 27th Ave N E, Suite 102, Marysville, WA 98271-4710 | |
| William J Fletcher | Physical Therapy | Reaction Physical Therapy Pllc | 17020 Twin Lakes Ave, Suite C101, Marysville, WA 98271-4731 |
| Andrea J Parker | Physical Therapy | Reaction Physical Therapy Pllc | 17020 Twin Lakes Ave, Suite C101, Marysville, WA 98271-4731 |
| Lauren E Johnson | Physical Therapy | Reaction Physical Therapy Pllc | 17020 Twin Lakes Ave, Suite C101, Marysville, WA 98271-4731 |
| James W Romo | Physical Therapy | Reaction Physical Therapy Pllc | 2704 171st Pl Ne, Suite 103, Marysville, WA 98271-4738 |
| Tawny L Bridge Pope | Physical Therapy | Reaction Physical Therapy Pllc | 2704 171st Pl Ne, Suite 103, Marysville, WA 98271-4738 |
| Maria Cirille A Pinon | Physical Therapy | Integrated Rehabilitation Group, PC | 2707 171st Pl Ne, Suite 101, Marysville, WA 98271-4740 |
| Ryan P Haskell | Physical Therapy | The Everett Clinic Pllc | 2901 174th St Ne, Marysville, WA 98271-4743 |
| Karen A Maynard | Physical Therapy | The Everett Clinic Pllc | 2901 174th St Ne, Marysville, WA 98271-4743 |
| Amy S Cheng | Dermatology | The Everett Clinic Pllc | 2901 174th St Ne, Marysville, WA 98271-4743 |
| Find all physicians in zip 98271 | |||
| City | MARYSVILLE |
| Zip Code | 98271 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARYSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Johnna K Wilcox.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.