Allison Russanne Wilcox, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27558 Issued in OK

Practice address

1108 S Kalanchoe Ave
Broken Arrow, OK 74012-0977

Phone

(404) 695-3685

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ctca Physicans Group of Oklahoma, Inc

  • Specialist
  • Tulsa, OK
  • NPI 1053309591
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1093840639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S KALANCHOE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120977",
            "telephone_number": "404-695-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S KALANCHOE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120977",
            "telephone_number": "404-695-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ALLISON",
        "middle_name": "RUSSANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "27558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100739880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francesca Whitman
• Lauren Elizabeth Whitney
• Malory Harwell Whitney, MS CCC-SLP
• Kylee Whittle
• Leianna Wichowski, OTR/L
• Sara Wilcox
• Tracy Leigh Wilde, BA
• Melinda Lee Wilkin, MSC SLT, BCBA
• Dakota Wilkinson
• Courtney Brooke Willcoxon, PHARMD

• Internal Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.