Bethany Wooten (NPI# 1447645379, PAC ID# 8921329723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1447645379 |
| PAC ID by PECOS | 8921329723 |
| Professional Enrollment ID | I20160223000474 |
| Full Name | Bethany Wooten |
| Organization Legal Name | PUEBLO ANESTHESIA AND PAIN SERVICES |
| Address |
3917 W Rd Pueblo Anesthesia and Pain Management Los Alamos NM 87544-2275 |
| Phone Number | 5056624201 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0042301707 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320033 | LOS ALAMOS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 | 5056624201 | PUEBLO ANESTHESIA AND PAIN SERVICES |
| Organization Legal Name | PUEBLO ANESTHESIA AND PAIN SERVICES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Evans | Anesthesiology | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Mark J Martineau | Certified Registered Nurse Anesthetist (crna) | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Lori J Carmen | Certified Registered Nurse Anesthetist (crna) | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Joe A Griffin Jr. | Certified Registered Nurse Anesthetist (crna) | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Street Address |
3917 W RD PUEBLO ANESTHESIA AND PAIN MANAGEMENT |
| City | LOS ALAMOS |
| State | NM |
| Zip | 87544-2275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori S Whitley | Dermatology | Los Alamos Medical Care Clinic Ltd | 3917 W Rd, Suite 150, Los Alamos, NM 87544-5303 |
| Fei Gu | Hematology/oncology | Los Alamos Physician Practices LLC | 3917 W Rd, 225 Northern New Mexico Cancer Care, Los Alamos, NM 87544-5311 |
| Ann C. Linnebur | Cardiovascular Disease (cardiology) | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Christopher A Gutierrez | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Molly J Vosburg | Internal Medicine | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Indra Prasad R Peram | Family Medicine | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Jeanne M Beyerle | Physician Assistant | Los Alamos Medical Care Clinic Ltd | 3917 W Rd, Suite 150, Los Alamos, NM 87544-5303 |
| Justin L Green | General Surgery | Los Alamos Physician Practices LLC | 3917 W Rd, 139 Los Alamos Surgical Associates, Los Alamos, NM 87544-5307 |
| Michelle Certik | Physician Assistant | Medical Associates of Northern New Mexico | 3917 W Rd, Suite A, Los Alamos, NM 87544-2292 |
| Eric M Ketcham | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley C Pruett | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 5600 Quemazon, Los Alamos, NM 87544-1765 |
| Jeffrey M Sauer | Podiatry | 3917 W Rd, Suite 135, Los Alamos, NM 87544-1776 | |
| Nicolle L Gonzales | Certified Nurse Midwife | Bridge Care for Women LLC | 3500 Trinity Dr, Los Alamos, NM 87544-2221 |
| Tom S. Steward | Clinical Social Worker | 3250 Trinity Dr, Suite B3, Los Alamos, NM 87544-2226 | |
| Michael J Marvinny | Hospitalist | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Josiah H Child | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Miguel Dozier | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Steven E Evans | Anesthesiology | Pueblo Anesthesia and Pain Services | 3917 W Rd, Pueblo Anesthesia and Pain Management, Los Alamos, NM 87544-2275 |
| Salim Amrani | General Surgery | Los Alamos Physician Practices LLC | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Patrick Martin | Hospitalist | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Find all physicians in zip 87544 | |||
| City | LOS ALAMOS |
| Zip Code | 87544 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LOS ALAMOS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.