DR. WANDA M BOOTE (NPI# 1063517050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063517050 |
Entity Type | Individual |
Full Name | DR. WANDA M BOOTE |
Credential | MD |
Practice Address |
2060 5th Ave N St Petersburg FL 33713-8012 |
Practice Telephone | 7278953376 |
Practice Fax Number | 7273623376 |
Mailing Telephone | 7278953376 |
Mailing Fax Number | 7273623376 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 53607 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RR MEDICARE PROV NUMBER | 070012797 | 01 |
Street Address |
2060 5TH AVE N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33713-8012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366639569 | Wanda M Boote Md Pa | Specialist | 2060 5th Ave N, St Petersburg, FL 33713-8012 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
Find all providers in zip 33713 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981338 | Alexandra Coad | Dermatology | 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 | 2019-09-19 |
1417421066 | Yvonne L Bruner | Dermatology | 4307 71st St N, St Petersburg, FL 33709-4513 | 2019-01-16 |
1396126744 | Katarina Rose Kesty | Dermatology | 100 40th Ave N, St Petersburg, FL 33703-6125 | 2015-06-11 |
1619105145 | Dermatology Partners of Saint Petersburg, LLC | Dermatology | 501 Mlk Jr St S, St Petersburg, FL 33705-1814 | 2009-06-23 |
1124215199 | John F Kirk Md, Pa | Dermatology | 4444 Central Ave, St Petersburg, FL 33711-1142 | 2007-10-03 |
1316139249 | Elizabeth Arrington | Dermatology | 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202 | 2007-08-14 |
1689688830 | Carol Jeanne Sims-robertson | Dermatology | 2100 Dr Martin Luther King Jr St N, Divine Dermatology Pllc, St Petersburg, FL 33704-3264 | 2006-07-27 |
1841240462 | Margaret Ann Kelleher | Dermatology | 6110 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1142 | 2006-05-12 |
1609840487 | Margaret H Rinker | Dermatology | 6450 38th Ave N Ste 330, St Petersburg, FL 33710-1649 | 2006-02-16 |
1235124967 | James C. Mauch | Dermatology | 620 10th St N, St Petersburg, FL 33705-1407 | 2005-09-19 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33713 |
Please comment or provide details below to improve the information on DR. WANDA M BOOTE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.