Todd R Wilcox, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

264359-1205 Issued in UT

Practice address

3415 S 900 W
South Salt Lake, UT 84119-4103

Phone

(801) 918-3692

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Wellcon, Inc.

  • Forensic Psychiatry Physician
  • South Salt Lake, UT
  • NPI 1750989349
  NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1861428856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 COTTONWOOD CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177601",
            "telephone_number": "801-424-1500",
            "fax_number": "801-272-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S 900 W",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841194103",
            "telephone_number": "801-918-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 E 12300 S",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209095",
            "country_code": "US",
            "telephone_number": "801-545-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "264359-1205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "264359-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870639098001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raeann White, RN
• Heather Anna Whitehead-Sampinos, L.C.S.W
• Tina Rose Whitehead
• Jennifer Payne Whitlock
• Cynthia M Wignall, COTA/L
• Morgan Williams
• Diana Ashley Wilson, BS
• Brittney Wise Gonzalez
• Ben Brent Wolsey, RN
• Olivia Nicole Wozab

• Emergency Medicine Physician in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.