DR. ANN MARIE WOTHERSPOON (NPI# 1124112578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112578 |
| Entity Type | Individual |
| Full Name | DR. ANN MARIE WOTHERSPOON |
| Credential | D.P.M. |
| Practice Address |
1425 Fruitdale Ave. San Jose CA 95128 |
| Mailing Address |
1792 Rosswood Dr. San Jose CA 95124-5223 |
| Practice Telephone | 4084482680 |
| Mailing Telephone | 4084482680 |
| Mailing Fax Number | 4084482680 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E 3518 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5372519 | 05 |
| Street Address |
1425 FRUITDALE AVE. |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639608896 | Foot & Ankle Care, Inc | Podiatrist | 100 Oconnor Dr Ste 9a, San Jose, CA 95128-1638 | 2017-06-09 |
| 1750305868 | Christina Flores | Podiatrist | 3102 Story Rd, San Jose, CA 95127-3815 | 2006-07-26 |
| 1649236399 | Andrew Robert Harrison | Podiatrist | 4986 Cherry Ave, San Jose, CA 95118-2748 | 2006-04-21 |
| 1013901271 | Timothy C Ho | Podiatrist | 3150 Almaden Expy, Ste 231a, San Jose, CA 95118-1250 | 2005-09-02 |
| 1598760373 | Michael Alan Heisman | Podiatrist | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2005-06-17 |
| 1255707766 | Steve Quang Huynh | Podiatrist | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116-1555 | 2015-08-19 |
| 1689859894 | County of Santa Clara | Podiatrist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-01-07 |
| 1780720375 | Christina Crum Rude | Podiatrist | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-30 |
| 1174696041 | Alexander Louis Vago | Podiatrist | 4155 Moorpark Ave, 16, San Jose, CA 95117-1714 | 2006-11-16 |
| 1972682433 | Richard R Abe | Podiatrist | 280 N Jackson Ave, Ste A, San Jose, CA 95116-1607 | 2006-11-03 |
| Find all providers in SAN JOSE | ||||
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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.