Dennis Drewe Wilcox, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A44471 Issued in CA

Practice address

3800 Janes Rd
Arcata, CA 95521-4742

Phone

(707) 822-2279

Fax

(707) 825-4988

NPI assigned

Oct 7, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mad River Community Anesthesia Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Arcata, CA
  • NPI 1578599619
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1730177486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 LETZ AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199101",
            "telephone_number": "707-822-2279",
            "fax_number": "707-825-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214742",
            "telephone_number": "707-822-2279",
            "fax_number": "707-825-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DENNIS",
        "middle_name": "DREWE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A44471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI AS PROVIDER OF SERVICE",
            "identifier": "1730177486",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538363312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Marie Coleman Wender
• Gregory Lamar West Jr.
• Zackary Whitley
• Sheri L. Whitt, M.F.T.
• Jackie Wiedemann
• William S. Sogaard, M.D., Inc
• Melissa Williams
• Nancy Williams, LCSW
• Joshua Wilson
• Scott H Winkler, D.C.

• Surgery Physician in Arcata, CA
• Providers in Arcata, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.