PHILIP MARK WAKEFIELD (M.D.) – Obstetrics & Gynecology Physician, NPI 1417042862

Excluded from federal healthcare programs (Medicare/Medicaid)

This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2023-10-19. Reason: License revocation, suspension, or surrender.

Obstetrics & Gynecology Physician

PHILIP MARK WAKEFIELD (M.D.) is a healthcare provider. based in Florence, Alabama. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 12686 (AL). The NPI Number for PHILIP MARK WAKEFIELD (M.D.) is 1417042862

Main info

Male

44 Years Of Experience

Accepts Medicare Assignment

Name

PHILIP MARK WAKEFIELD (M.D.)

NPI

1417042862

Phone

(256) 718-5900

Address

2407 HELTON DR

Enumeration Date

3 October 2006

Last Update Date

10 June 2010

Doctor Profile

Medical School Name

UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE

Secondary Phone

2567185900

Graduation Year

1982 (44 years ago)

PAC ID

2567587645

Group Practice PAC ID

9234119942

Professional Enrollment ID

I20100913000880

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PHILIP MARK WAKEFIELD (M.D.)

2407, Helton Drive, Florence, Lauderdale County, Alabama, 35630, United States
FLORENCE, AL 356301067
Phone: (256) 718-5900
Fax: (256) 718-5918
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35630)

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Provider's Procedures

PHILIP MARK WAKEFIELD (M.D.) performs procedures in Obstetrics & Gynecology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OBSTETRICS/GYNECOLOGY	AL	81002	Urinalysis, manual test	25	23

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9234119942View full group profile

Name	Specialty	State
ANITA LOUISE MILLER (CRNP)	-	AL
RITA KAY KIRCHLER (M.D.)	-	AL

Reviews

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Frequently asked questions

Is PHILIP MARK WAKEFIELD (M.D.) listed with a National Provider Identifier?

Yes — PHILIP MARK WAKEFIELD (M.D.) has NPI 1417042862 on file in the registry.

Active or inactive — what applies to PHILIP MARK WAKEFIELD (M.D.)?

You should see PHILIP MARK WAKEFIELD (M.D.) as active in CMS-hosted NPPES data.

What kind of doctor is PHILIP MARK WAKEFIELD (M.D.)?

PHILIP MARK WAKEFIELD (M.D.) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.

Is PHILIP MARK WAKEFIELD (M.D.) associated with Florence?

Public fields place PHILIP MARK WAKEFIELD (M.D.) around Florence, Alabama. Always confirm the exact site before visiting.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.