CHARLES ERIC WOOTEN (NPI# 1497045058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497045058 |
| Entity Type | Individual |
| Full Name | CHARLES ERIC WOOTEN |
| Credential | M.D. |
| Practice Address |
805 Pamplico Hwy Ste A315 Florence SC 29505-6056 |
| Mailing Address |
Albert B Chandler Hospital 800 Rose Street, Room Cc003-b Lexington KY 40536-0293 |
| Practice Telephone | 8436746460 |
| Mailing Telephone | 8593236486 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
R2676 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Rose Street, Room Cc003-b, Albert B. Chandler Hospital, Lexington, KY 40536 | 8593236486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700321064 | Charles Wooten | Physical Therapy Assistant | 4025 County Road 92, Elmore, OH 43416-9601 | 2016-12-22 |
| 1295207108 | Charles Vincent Wooten | Counselor | 2005 Ashland Ave, Toledo, OH 43620 | 2018-12-18 |
| 1699075309 | Charles R Wooten | Pharmacist | 7770 E Mcdowell Rd, Scottsdale, AZ 85257-3744 | 2010-10-27 |
| Street Address |
805 PAMPLICO HWY STE A315 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053441196 | Bethesda Resources Inc | Radiology | 208 Marengo St, Florence, AL 35630-6097 | 2007-03-07 |
| 1104399120 | Mcleod Physician Associates II | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2019-01-03 |
| 1962995092 | T Rhett Spencer Jr Md Services | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2018-06-13 |
| 1790152320 | Alliance Oncology of Alabama LLC | Radiology | 208 Marengo St, Florence, AL 35630-6097 | 2015-08-31 |
| 1326276551 | Virginia Lee Clyburn-ipock | Radiology | 555 East Cheves St, Mcleod Health Hospital - Radiation Oncology, Florence, SC 29506 | 2009-06-25 |
| 1750577466 | Alliance Oncology LLC | Radiology | 208 Marengo St, Florence, AL 35630-6097 | 2007-09-18 |
| 1912072315 | Palmetto Radiation Oncology Pa | Radiology | 555 E Cheves St, Florence, SC 29506 | 2006-11-21 |
| 1467482935 | Thomas Rhett Spencer Jr. | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1255518734 | Paul Anthony Saconn | Radiology | 122 Okatie Center Blvd N, Okatie, SC 29909-3750 | 2008-01-27 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| 1972624484 | James Fyffe Mcnab | Radiology | 1680 Ribaut Raod, Ste A, Port Royal, SC 29935-2029 | 2007-04-02 |
| 1568516383 | Edward William Duffy Jr. | Radiology | 130 North Washington Street, Sumter, SC 29150 | 2007-01-22 |
| 1811908064 | Vipul V Thakkar | Radiology | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-08-11 |
| 1285645937 | Eduard Dvorak | Radiology | 30494 435th Ave, Utica, SC 57067-5905 | 2006-08-10 |
| 1013947589 | Larry Douglas Grubb | Radiology | 130 N Washington St, Sumter, SC 29150-4920 | 2006-07-03 |
| 1053356493 | Dean Alan Gant | Radiology | 1005 W Meeting St, Lancaster, SC 29720-2205 | 2006-06-19 |
| Find all providers with the same taxonomy | ||||
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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.