DR. JOHN D WOOTEN III


Address: 1520 Sunday Dr, Raleigh, NC 27607-5253
Phone: 9197823456

DR. JOHN D WOOTEN III (NPI# 1932131745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932131745
Entity Type Individual
Full Name DR. JOHN D WOOTEN III
Credential M.D.
Practice Address 1520 Sunday Dr
Raleigh
NC 27607-5253
Mailing Address 1540 Sunday Dr
Raleigh
NC 27607-6000
Practice Telephone 9197823456
Practice Fax Number 9197877552
Mailing Telephone 9197823456
Mailing Fax Number 9197877552
Enumeration Date 2006-07-06
Last Update Date 2011-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
30263 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8912399 05

Other Providers JOHN WOOTEN

NPI Name Taxonomy Address Enumeration
1669035853 John Matthews Wooten Student in an Organized Health Care Education/Training Program 101 Manning Dr, Chapel Hill, NC 27514-4220 2019-04-15
1891109005 John Perry Wooten Ophthalmology 100 Sweetbriar Dr, Columbus, TX 78934 2014-06-16
1376653667 John B Wooten Counselor 3111 S 70th St, Fort Smith, AR 72903-5017 2006-08-30

Office Location

Street Address 1520 SUNDAY DR
City RALEIGH
State NC
Zip Code 27607-5253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417940990 Paul P. Carnes Anesthesiology 1520 Sunday Dr, Raleigh, NC 27607-5253 2005-08-30
1952951337 Brittany L Estep Nurse Practitioner 1520 Sunday Dr, Raleigh, NC 27607-5253 2019-09-17
1316492655 Kelsey Ann Earnheart Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2016-08-16
1306215975 Gretchen Reichmann Nurse Practitioner 1520 Sunday Dr, Raleigh, NC 27607-5253 2015-09-24
1821465774 Danielle Vaughan Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2015-08-26
1881091544 Katherine Mary Pride Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2014-11-24
1467879783 Jan R Campbell Physician Assistant 1520 Sunday Dr, Raleigh, NC 27607-5253 2014-03-25
1740605096 Drayer Physical Therapy of North Carolina LLC Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2014-02-24
1346670486 Brian Lawton Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2013-11-26
1720411994 Elizabeth Carlton Waddell Physical Therapist 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 2013-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720321219 Roxana Pourdeyhimi Psychiatry & Neurology 1540 Sunday Dr, Raleigh, NC 27607-6010 2013-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1740547496 Dmitry Tchapyjnikov Psychiatry & Neurology Dept of Pediatrics Duke University Medical Ctr, 2301 Erwin Rd., Children's Health Center, Duke Universi, Durham, NC 27710-0001 2012-04-19
1043525280 Cmc-northeast, Inc. Psychiatry & Neurology 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 2010-08-12
1750610689 Virinder Nohria Psychiatry & Neurology 111 Skyline View Rd, Franklin, NC 28734-4769 2009-12-24
1144463993 Monica Elizabeth Lemmon Psychiatry & Neurology Dumc 3936, Durham, NC 27710-6667 2009-04-09
1245431600 Yael Shiloh-malawsky Psychiatry & Neurology 170 Manning Dr., Department of Neurology Cb#7025, Chapel Hill, NC 27514-4220 2007-05-31
1598795635 Kadry R Allaboun Psychiatry & Neurology 115 Foothills Dr, Morganton, NC 28655-5152 2006-07-04
1962473033 David Jay Jaffe Psychiatry & Neurology 508 Sandhurst Dr, A, Fayetteville, NC 28304-4434 2006-01-27
1558368936 Susan B Boutilier Psychiatry & Neurology 2280 Hemby Ln, Greenville, NC 27834-3773 2005-06-30
1164987616 Novant Medical Group Inc Psychiatry & Neurology 311 Coddle Market Dr Nw, Ste 200, Concord, NC 28027-2432 2019-02-08
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Competitor

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City RALEIGH
Zip Code 27607

Improve Information

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Dataset Information

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.

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