SALLY M WOOTEN (NPI# 1558306761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558306761 |
| Entity Type | Individual |
| Full Name | SALLY M WOOTEN |
| Credential | MD |
| Practice Address |
55 Foundation Dr Flemingsburg KY 41041-9815 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 6067593585 |
| Practice Fax Number | 6067593514 |
| Mailing Telephone | (615) 920-7906 |
| Mailing Fax Number | 6159208938 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 46724 | KY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
46724 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | AA31868989 | 01 |
| PA | 001087464 | 05 | |
| SC | 1558306761 | 05 | |
| KY | 7100269150 | 05 |
| Street Address |
55 FOUNDATION DR |
| City | FLEMINGSBURG |
| State | KY |
| Zip Code | 41041-9815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669473815 | Robert Damion Hardison | Emergency Medicine | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2005-08-09 |
| 1326524109 | Kayla Lee Akland | Physical Therapist | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2018-07-16 |
| 1487178521 | Mary Elaine Hinton | Physical Therapy Assistant | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2017-07-31 |
| 1831628783 | Kentucky Post Acute Medical Services 1 Psc | Hospitalist | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2017-06-05 |
| 1841654506 | Fleming Medical Center LLC | Nurse Anesthetist, Certified Registered | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2016-04-08 |
| 1255688156 | Hannah Thornton | Dietitian, Registered | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2012-08-09 |
| 1912278821 | Flemingsburg Hospitalists, LLC | Hospitalist | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2012-01-24 |
| 1699083097 | Fleming Emergency Group LLC | Physician Assistant | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2010-09-20 |
| 1396071940 | Jeremy Heath Hazelrigg | Physical Therapist | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2009-11-02 |
| 1992943674 | Holly Sims Sims | Nurse Anesthetist, Certified Registered | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2009-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769304 | J&c Investments Inc | Durable Medical Equipment & Medical Supplies | 116 Clark St, Flemingsburg, KY 41041 | 2017-09-11 |
| 1922489426 | Amy Leonard Monday | Physical Therapist | 65 Bluebank Lane, Flemingsburg, KY 41041 | 2015-06-11 |
| 1821227034 | Kimberly J Myers | Nutritionist | 194 Windsor Dr., Flemingsburg, KY 41041 | 2009-07-09 |
| 1003079781 | Glenn R Womack Md Psc | Nurse Practitioner | 732 Elizaville Rd, Flemingsburg, KY 41041 | 2008-07-03 |
| 1477748473 | Casey Sue Mason | Counselor | 15521 Ky 57, Flemingsburg, KY 41041 | 2007-09-12 |
| 1538280078 | Fleming Regional Medical Imaging, Pllc | Clinic/Center | 730 Elizaville Rd, Flemingsburg, KY 41041 | 2007-04-03 |
| 1881726347 | Fleming Medical Center LLC | Clinic/Center | 55 Foundation Drive, Flemingsburg, KY 41041 | 2007-03-11 |
| 1194850065 | Jill S. Price | Dentist | 46 Ashbrook Drive, Flemingsburg, KY 41041 | 2007-02-22 |
| 1962432153 | Glenn R. Womack M.d. Psc | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2006-07-03 |
| 1104895234 | Roger K Owens | Physician Assistant | 169 Medical Park Drive, Flemingsburg, KY 41041 | 2006-03-14 |
| Find all providers in zip 41041 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573800 | Family Medicine Associates of Flemingsburg, Psc | Internal Medicine | 932 Elizaville Ave, Flemingsburg, KY 41041-9209 | 2005-10-28 |
| 1134114044 | Willie Travis Lawson Jr. | Internal Medicine | 732 Elizaville Ave, Flemingsburg, KY 41041-1139 | 2005-09-16 |
| 1760870778 | Mandissa Sealey | Internal Medicine | 732 Elizaville Ave, Flemingsburg, KY 41041 | 2014-12-27 |
| 1831180967 | Amanda Mae Applegate | Internal Medicine | 935 Elizaville Ave, Flemingsburg, KY 41041-9210 | 2005-10-28 |
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|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1548887086 | Neck Back & Knee Center Inc | Internal Medicine | 7560 Us 42 Ste A, Florence, KY 41042-1908 | 2020-07-01 |
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1356985907 | Peter Aliu Md Pllc | Internal Medicine | 103 Stable Way, Nicholasville, KY 40356-8047 | 2019-11-06 |
| 1609420272 | Telemedicine House Calls, LLC | Internal Medicine | 2161 S Boundary Rd, Radcliff, KY 40160-9686 | 2019-07-31 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
| City | FLEMINGSBURG |
| Zip Code | 41041 |
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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.