Active NPI
Gerald Lee Wilks, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- El Paso, TX
National Provider Identifier
1689631145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- C33124
- Practice address
- 5001 N Piedras St
El Paso, TX 79930-4210 - Phone
- (915) 564-6100
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | C33124 | CA | Primary |
Addresses
Primary practice location
5001 N Piedras St
El Paso, TX 79930-4210
Mailing address
5001 N Piedras St
El Paso, TX 79930-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-33198 | Other | CA | MD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C33124 | CA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1689631145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "GERALD",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "C33124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD",
"identifier": "C-33198",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Sheryl Lynn Wilcox, M.S. CCC-SLP
- Jerold Horace Wiley
- Carrie Colleen Wilkie
- Zebulon Lee Wilkin, PA-C
- Tiffany Leigh Wilkinson, LCSW
- Erick Brian Willars
- William Beaumont Army Medcial Center
- William Beaumont Army Medical Center (Usadc Ft. Bliss Wbamc)
- William Beaumont Army Medical Center (Rio Bravo Medical Home-Bliss)
- William Beaumont Army Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.