DR. GERALD DON WOOTAN (NPI# 1518063932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518063932 |
| Entity Type | Individual |
| Full Name | DR. GERALD DON WOOTAN |
| Credential | D.O. |
| Practice Address |
715 W Main St Ste S Jenks OK 74037-3553 |
| Mailing Address |
715 W Main St Suite S Jenks OK 74037-3554 |
| Practice Telephone | 9182999447 |
| Practice Fax Number | 9182995325 |
| Mailing Telephone | 9182999447 |
| Mailing Fax Number | 9182995325 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2562 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
715 W MAIN ST STE S |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395327 | Lisa E Hart | Pediatrics | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2005-12-01 |
| 1861954984 | Donna Jean Mosier | Registered Nurse | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2019-04-06 |
| 1518338490 | Carol Voigtlander | Nurse Practitioner | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2015-10-17 |
| 1831462894 | Jenna Lee Musgrove | Physician Assistant | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2012-02-21 |
| 1720252182 | Osu Center for Health Sciences | Clinic/Center | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2008-04-16 |
| 1174684476 | Rebecca J. Berman | Nurse Practitioner | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184982423 | Leah Upton | Family Medicine | 715 W Main St Suite S, Suite S, Jenks, OK 74037-5440 | 2012-04-24 |
| 1801895024 | Joseph Raymond Schlecht | Family Medicine | 2605 W Main St, Jenks, OK 74037-3429 | 2005-07-19 |
| 1346627395 | Jeremy Ransdell | Family Medicine | 220 S Elm St, Jenks, OK 74037-3701 | 2015-04-29 |
| 1083904841 | Matthew Bryan Fowler | Family Medicine | 701 E Main St, Jenks, OK 74037-4316 | 2011-04-13 |
| 1740513084 | Jennifer R. Cameron, M.d., P.C. | Family Medicine | 715 W Main St, Suite P, Jenks, OK 74037-3554 | 2009-09-17 |
| 1407018088 | Sarah Renae Elneser | Family Medicine | 701 East Main Street, Jenks, OK 74037-4316 | 2008-06-25 |
| 1891982625 | Jenks Health Team, LLC | Family Medicine | 715 W Main St, Suite S, Jenks, OK 74037-3554 | 2007-09-25 |
| 1235322645 | Paul A Waruszewski | Family Medicine | 715 W Main St, Suite S, Jenks, OK 74037-3554 | 2007-08-20 |
| 1821295379 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 701 E Main St, Jenks, OK 74037-4316 | 2007-06-28 |
| 1538364245 | Theron Joseph Bliss | Family Medicine | 220 S Elm St, Jenks, OK 74037 | 2007-06-20 |
| Find all providers in JENKS | ||||
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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.