Organization Active NPI

Cornelius L. Mayfield, M.D., L.L.C.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1154517696
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12328R Issued in LA
Legal business name
CORNELIUS L. MAYFIELD, M.D., L.L.C.
Practice address
7777 Hennessy Blvd
Suite 102
Baton Rouge, LA 70808-4300
Phone
(225) 214-4300
Fax
(225) 214-4303
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Cornelius Laffitte Mayfield, M.D.
Title
Organizer
Phone
(225) 214-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 12328R LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 102
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 102
Baton Rouge, LA 70808-4300
Phone (225) 214-4300

Other identifiers 1

IdentifierTypeStateIssuer
1698989MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1154517696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-4300",
            "fax_number": "225-214-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-4300",
            "fax_number": "225-214-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS L. MAYFIELD, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "LAFFITTE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "225-214-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12328R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698989",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.