SUSAN WOOTTON (NPI# 1144412917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144412917 |
Entity Type | Individual |
Full Name | SUSAN WOOTTON |
Credential | M.D. |
Practice Address |
6410 Fannin St 500 Houston TX 77030-3000 |
Mailing Address |
Po Box 201088 Houston TX 77216-1088 |
Practice Telephone | 8323257111 |
Practice Fax Number | 7135122227 |
Mailing Telephone | 7135003500 |
Enumeration Date | 2007-08-15 |
Last Update Date | 2008-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
M8437 | TX | Allopathic & Osteopathic Physicians |
N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
0101059072 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CSHCN | 192014202 | 01 |
TX | BCBS | 8X7055 | 01 |
TX | 192014201 | 05 |
Street Address |
6410 FANNIN ST 500 |
City | HOUSTON |
State | TX |
Zip Code | 77030-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497758130 | Raymond A. Martin | Psychiatry & Neurology | 6410 Fannin St, Ste 1014, Houston, TX 77030-3000 | 2005-05-26 |
1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
1922637255 | Brittany Dionne Jones-linares | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite Msb 4.020, Houston, TX 77030-3000 | 2020-04-08 |
1952933756 | Tania E De Los Reyes | Dietitian, Registered | 6410 Fannin St, Houston, TX 77030-3000 | 2020-02-10 |
1295296218 | Braden Fraser Goldberg | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2019-03-31 |
1073089827 | Alana Claire Cecchi | Genetic Counselor, MS | 6410 Fannin St, Houston, TX 77030-3000 | 2018-10-19 |
1609350370 | Dianna Joann Schmeda | Nurse Practitioner | 6410 Fannin St, Suite 950, Houston, TX 77030 | 2018-09-19 |
1770073645 | April Laquinta Moore | Nurse Practitioner | 6410 Fannin St, Houston, TX 77030-3000 | 2018-05-15 |
1639669872 | Ezra Yujin Koh | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2018-05-14 |
1093210163 | Mesk Alrais | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2018-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
Find all providers in zip 77030 |
Taxonomy Code | 2080P0208X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Infectious Diseases |
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437564481 | Cynthia Doerr | Pediatrics | 1203 Peveto St, Houston, TX 77019-4005 | 2014-06-29 |
1720369689 | Morouge Mohammed Al Ramadhan | Pediatrics | 6431 Fannin, Msb 3.244, Houston, TX 77030 | 2011-09-06 |
1023015013 | Pediatric Infectious Disease Specialists of Houston, P.a. | Pediatrics | 1140 Business Center Dr., #300, Houston, TX 77043-2742 | 2005-07-05 |
1043638422 | Ryan Henry Rochat | Pediatrics | 6621 Fannin St, Houston, TX 77030-2358 | 2014-04-02 |
1033467519 | Erin Griffin Nicholson | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2012-08-15 |
1720343817 | Jonathon Chase Mcneil | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2012-07-05 |
1356573653 | Norma Perez | Pediatrics | 6431 Fannin St, Msb 3.200, Houston, TX 77030-1501 | 2009-08-20 |
1578768396 | Micah M Bhatti | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2007-06-20 |
1659451912 | Catherine Healy | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
1306926670 | Mark Kline | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
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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.