Active NPI
Cornelius W. Wakefield, M.D.
- Anesthesiology Physician
- El Paso, TX
National Provider Identifier
1801994041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G1799
- Practice address
- 5959 Gateway Blvd W
# 120
El Paso, TX 79925-3331 - Phone
- (915) 779-1716
- Fax
- (915) 771-6558
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 30, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G1799 | TX | Primary |
Addresses
Primary practice location
5959 Gateway Blvd W
# 120
El Paso, TX 79925-3331
Mailing address
5959 Gateway Blvd W
# 120
El Paso, TX 79925-3331
Phone (915) 779-1716
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00U79G | Other | TX | BCBS |
| 134813806 | Medicaid | TX | |
| 8U4608 | Other | TX | BCBS |
| 134813809 | Medicaid | TX |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1799 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1801994041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "# 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716",
"fax_number": "915-771-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "# 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716",
"fax_number": "915-771-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEFIELD",
"first_name": "CORNELIUS",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G1799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00U79G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134813806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U4608",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134813809",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Emily Wagner
- Linda Wagner, LPC
- Sterling Michael Wahlrab
- Stephen Kagondu Waigwa, PTA
- Wainwright Family Resource Center (WFRC)
- Catherine Davenportpollock Wakeham, MD
- Connor Wakeham
- Biruk Getachew Wakjira, MD
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-4105)
- Wal-Mart Stores Texas LLC (Wal-Mart Pharmacy 10-2612)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.