Individual provider Active NPI

Alison Lee Wilcock, M.D.

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1427284702
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41887 Issued in AZ
Practice address
595 N Dobson Rd
Suite A18
Chandler, AZ 85224-4226
Phone
(480) 821-1400
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41887 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd
Suite A18
Chandler, AZ 85224-4226

Mailing address

861 N Higley Rd
Ste B101
Gilbert, AZ 85234-9602
Phone (480) 664-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160802002590 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092009845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41887AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acts of Kidness Pediatrics PLLC Pediatrics Past Accepting new patients
Healing Hearts Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13750/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alison.wilcock.2@13750.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1427284702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N HIGLEY RD",
            "address_2": "STE B101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349602",
            "telephone_number": "480-664-6400",
            "fax_number": "480-500-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE A18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244226",
            "telephone_number": "480-821-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOCK",
        "first_name": "ALISON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "41887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.