Active NPI
Christopher Luke Wilcox, D.O.
- Orthopaedic Surgery Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101017179
- Practice address
- 4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823-5353 - Phone
- (517) 884-6100
- Fax
- (517) 884-6233
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS11624 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 5101017179 | MI | Primary |
Addresses
Primary practice location
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823-5353
Mailing address
804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497963425 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 W Saginaw St
Lansing, MI 48915-1927
1210 W Saginaw St FL
Lansing, MI 48915-1927
1215 E Michigan Ave
Lansing, MI 48912-1811
2900 Hannah Blvd
Suite B102
East Lansing, MI 48823-5374
Phone (517) 364-8070
4660 S Hagadorn Rd
310 SMG Orthopedics and Sports Medicine
East Lansing, MI 48823-5376
Phone (517) 364-8890
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017179 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Orthopaedic Surgery | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2900 Hannah Blvd
Ste 212
East Lansing, MI 48823
Phone (517) 319-1831
804 Service Rd
Ste A109F
East Lansing, MI 48824
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
463 E Circle Dr
Rm 102
East Lansing, MI 48824
Phone (517) 884-6546
2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050
5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870
3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1891747614
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Orthopaedic Surgery Physician
- East Lansing, MI
- NPI 1700365244
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1497963425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "A201",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 S HAGADORN RD",
"address_2": "STE 420",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235353",
"telephone_number": "517-884-6100",
"fax_number": "517-884-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "CHRISTOPHER",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS11624",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101017179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497963425",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.