Individual provider Active NPI

John Richardson Wilcox Jr., M.D.

  • Diagnostic Radiology Physician
  • Longview, TX
National Provider Identifier
1114920444
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F0824 Issued in TX
Practice address
4777 US Highway 259
Longview, TX 75605-7668
Phone
(903) 663-4800
Fax
(903) 663-0378
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X F0824 TX
Diagnostic Radiology Physician 2085R0202X F0824 TX Primary

Addresses

Primary practice location

4777 US Highway 259
Longview, TX 75605-7668

Mailing address

PO Box 5316
Longview, TX 75608-5316
Phone (903) 663-4800

Other identifiers 4

IdentifierTypeStateIssuer
8DB361OtherTXBCBS TX
134263610MedicaidTX
134263613MedicaidTX
P00995222OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001671 TX Practitioner - Diagnostic Radiology 1850389107 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F0824TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star FP, LP CurrentSince Jun 9, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 24, 2018 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince May 5, 2018 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
North Star MRI LP CurrentSince Jun 10, 2022 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Nov 10, 2023 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
North Star FM, LP CurrentSince Jun 8, 2022 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 10, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jun 8, 2022 Accepting new patients
Ideal MRI, LLC Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology PastSince Jul 1, 2009 Accepting new patients
Providence Imaging Consultants, P.a. Diagnostic Radiology Past Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients
East Texas Radiology Consultants Diagnostic Radiology Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

8501 Wade Blvd
#220N
Frisco, TX 75034

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1114920444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5316",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085316",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 US HIGHWAY 259",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057668",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JOHN",
        "middle_name": "RICHARDSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "F0824",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F0824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8DB361",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134263610",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134263613",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00995222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.