David C Wilcoxson, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

18169 Issued in AZ

Practice address

6750 E Baywood Ave
Ste 503
Mesa, AZ 85206-1749

Phone

(480) 654-3303

Fax

(480) 654-4030

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, OH2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Flagstaff Pain and Treatment CenterGroup PAC ID 0749691038, 13 clinicians

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Hospital, Dover, OH, CCN 360010
• Akron General Medical Center Hospital, Akron, OH, CCN 360027
• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Flagstaff Pain & Treatment Center

  dba Virtuous Pain Centers

  • Pain Medicine (Anesthesiology) Physician
  • Flagstaff, AZ
  • NPI 1073127858
  Medicare reassignment Care Compare group NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Union Physician Services, LLC

  • Family Medicine Physician
  • Dover, OH
  • NPI 1215169826
  Medicare reassignment Care Compare group NPD
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274

  Cardiovascular Disease

  Medicare reassignment NPD
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD
• Monaliza Setudehnia MD PLLC

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1922119270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Akron General Medical Center

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1821035940
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1184618340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20490",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770490",
            "telephone_number": "480-985-1093",
            "fax_number": "480-985-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE",
            "address_2": "STE 503",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-654-3303",
            "fax_number": "480-654-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "18169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284240",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A20352100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Wilbur, STEPHEN WILBUR
• Jeffrey Deterick Wilcock, DC
• Kirk Shawgo Wilcox, PHAM. D. , BS
• Paige Wilcox, PSYD
• Terry Sue Wilcox, FNP
• Robyn Lynn Wilcoxson, P.T.
• Spencer K. Wilde, DDS
• Kalli Wilembrecht, PHARM.D.
• Barbara G Wiles, FNP-BC, MSN, RN
• Joel Wiley, DPT

• Cardiovascular Disease Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.