Marc Luther Wilcox, MS CCC-A
Audiologist in Fredonia, NY. Individual provider (NPI-1).
NPI number1205855145
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1205855145
- Entity type
- Individual (NPI-1)
- Name
- Marc Luther Wilcox
- Credential
- MS CCC-A
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Feb 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - QUALIFIED AUDIOLOGIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 001310-1 | NY | Yes |
Practice location
280 Central AveW123 Thompson Hall
Fredonia, NY 14063-1127
Phone 716-673-3203
Mailing address
280 Central AveW123 Thompson Hall
Fredonia, NY 14063-1127
Phone 716-673-3203
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Audiologist providers in Fredonia, NY
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.