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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8912399 | 05 |
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 |
Street Address |
1520 SUNDAY DR |
City | RALEIGH |
State | NC |
Zip Code | 27607-5253 |
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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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 |
Find all providers in zip 27607 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720321219 | Roxana Pourdeyhimi | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2013-04-03 |
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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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.