Provider Demographics
NPI:1285697896
Name:WILCOX, JOSEPH F (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:WILCOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 GEMINI PL STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6110
Mailing Address - Country:US
Mailing Address - Phone:614-262-4263
Mailing Address - Fax:614-262-0822
Practice Address - Street 1:1210 GEMINI PL STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6110
Practice Address - Country:US
Practice Address - Phone:614-262-4263
Practice Address - Fax:614-262-0822
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-8203-W207X00000X
OH35078203W207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4326719OtherCIGNA
OH0901441OtherUHC PIN
OH000000212694OtherANTHEM PIN
OH1376868448OtherMEDICARE DME
OH2181375Medicaid
OH7856125OtherAETNA PIN
OHWI4026002OtherRAILROAD MEDICARE
OH4326719003OtherCIGNA PIN
OH0901441OtherUHC PIN