Individual provider Active NPI

Joe Norman Wilkes II, CRNA

  • Certified Registered Nurse Anesthetist
  • Winfield, AL
National Provider Identifier
1023054244
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-094772 Issued in AL
Practice address
Northwest Medical Center
1530 US Highway 43
Winfield, AL 35594
Phone
(205) 487-7000
Fax
(205) 487-7645
NPI assigned
Jun 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-094772 AL Primary

Addresses

Primary practice location

Northwest Medical Center
1530 US Highway 43
Winfield, AL 35594

Mailing address

226 Brandy Drive
Winfield, AL 35594
Phone (205) 487-4843

Other identifiers 2

IdentifierTypeStateIssuer
515-22617OtherALBCBS AL PIN
515-22751OtherALBCBS AL -LAMAR SURG CTR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-094772ALMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023054244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BRANDY DRIVE",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "35594",
            "telephone_number": "205-487-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHWEST MEDICAL CENTER",
            "address_2": "1530 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "35594",
            "telephone_number": "205-487-7000",
            "fax_number": "205-487-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "JOE",
        "middle_name": "NORMAN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-094772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL PIN",
            "identifier": "515-22617",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL -LAMAR SURG CTR",
            "identifier": "515-22751",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.