TIMOTHY STEVEN WOOTTEN (NPI# 1316938616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316938616 |
| Entity Type | Individual |
| Full Name | TIMOTHY STEVEN WOOTTEN |
| Credential | PA |
| Practice Address |
1861 Trail Way Turlock CA 95382-8654 |
| Practice Telephone | 2094851306 |
| Mailing Telephone | 2094851306 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16581 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0PA165810 | 05 | |
| CA | BLUE SHIELD | 0PA165810 | 01 |
| Street Address |
1861 TRAIL WAY |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242032 | Gabriel Sousa | Physician Assistant | 4203 Horizon Ct, Turlock, CA 95382-7201 | 2020-07-17 |
| 1558845859 | Edward George Thrombley IIi | Physician Assistant | 3800 Geer Rd # 200, Turlock, CA 95382-1146 | 2018-09-21 |
| 1962957944 | Paul Hacker | Physician Assistant | 601 Tammi Way, Turlock, CA 95382-1236 | 2016-08-19 |
| 1558669820 | Emily Simmons Hunt | Physician Assistant | 1140 Penn Ave, Turlock, CA 95382-1306 | 2011-03-10 |
| 1174639744 | Lapa R Dang | Physician Assistant | 801 W Monte Vista Ave, Turlock, CA 95382-0256 | 2006-08-23 |
| 1255322566 | Mohammed Jamahl Askor | Physician Assistant | 825 Delbon Avenue, Turlock, CA 95382 | 2005-11-04 |
| 1801427422 | Bikramjit Singh | Physician Assistant | 825 Delbon Ave, Turlock, CA 95382-2016 | 2020-02-01 |
| 1205482601 | Ryan Higgins | Physician Assistant | 1141 N Olive Ave, Turlock, CA 95380-3365 | 2019-08-13 |
| 1649822008 | Vann Luong | Physician Assistant | 825 Delbon Ave, Turlock, CA 95382-2016 | 2019-07-15 |
| 1467010744 | Jordan John Jepson | Physician Assistant | 1000 Delbon Ave Ste 8, Turlock, CA 95382 | 2019-06-03 |
| Find all providers in TURLOCK | ||||
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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.