Active NPI
Harry Paul Wilcox, RN
- Medical-Surgical Registered Nurse
- Dayton, OH
National Provider Identifier
1386879948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 149863
- Practice address
- 349 S. Main St
Dayton, OH 45402 - Phone
- (937) 461-3450
- Fax
- (937) 461-9584
- NPI assigned
- May 26, 2009
- Last updated
- May 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 149863 | OH | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 28168506A | IN |
Addresses
Primary practice location
349 S. Main St
Dayton, OH 45402
Mailing address
349 S. Main St
Dayton, OH 45402
Phone (937) 461-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168506A | IN | MD | Medical-Surgical Registered Nurse |
| 149863 | OH | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Blood Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Dayton, OH
- NPI 1629200225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1386879948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 S. MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "45402",
"telephone_number": "937-461-3450",
"fax_number": "937-461-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 S. MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "45402",
"telephone_number": "937-461-3450",
"fax_number": "937-461-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "HARRY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "OH",
"license": "149863",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "IN",
"license": "28168506A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.