MEDICARE: DR. JOSEPH F WILCOX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35-07-8203-W	OH
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	35078203W	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4326719	OTHER	OH	CIGNA

General Provider Information

NPI Number	:	1285697896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH F WILCOX M.D.

Provider Business Mailing Address
First Line	:	1210 GEMINI PL STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-6110
Country	:	US
Telephone Number	:	614-262-4263
Fax Number	:	614-262-0822

Provider Business Practice Location Address
First Line	:	1210 GEMINI PL STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-6110
Country	:	US
Telephone Number	:	614-262-4263
Fax Number	:	614-262-0822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	07/25/2019

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Directions to “ DR. JOSEPH F WILCOX M.D.” Practice Location

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