Marc Luther Wilcox, MS CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001310-1 Issued in NY

Practice address

280 Central Ave
W123 Thompson Hall
Fredonia, NY 14063-1127

Phone

(716) 673-3203

NPI assigned

Jul 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

73.89

Promoting interoperability

89

Improvement activities

40

Cost

75.72

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• State of New York Comptrollers Office

  • Audiologist
  • Fredonia, NY
  • NPI 1508079567
  Medicare reassignment NPD
• Diversified Services for Occupational Therapy, Physical Ther

  • Audiologist
  • Kenmore, NY
  • NPI 1447283882
  NPD
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

  • Physical Medicine & Rehabilitation Physician
  • Kenmore, NY
  • NPI 1417576547
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD
• Medical Practitioner Services of Wny PC

  • Developmental Disabilities Clinic/Center
  • Buffalo, NY
  • NPI 1376129015
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1205855145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CENTRAL AVE",
            "address_2": "W123 THOMPSON HALL",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631127",
            "telephone_number": "716-673-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CENTRAL AVE",
            "address_2": "W123 THOMPSON HALL",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631127",
            "telephone_number": "716-673-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MARC",
        "middle_name": "LUTHER",
        "credential": "MS CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Stacey Marie Wallace
• Kristy Anne Wasik, LMSW
• Leanna S White, PH.D.
• Kasey Marie Wilfong
• Jacob Troy Wilkins, REGISTERED NURSE
• Julie Lyn Williams, SPEECH PATHOLOGIST
• Wny Southtowns Optometry PLLC
• Women'S Christian Association

• All providers in Fredonia, NY
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.