WILMA JEAN WOOTEN


Address: 1700 Pacific Hwy Ste 311, San Diego, CA 92101-2417
Phone: 6195156519

WILMA JEAN WOOTEN (NPI# 1376694802) 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) 1376694802
Entity Type Individual
Full Name WILMA JEAN WOOTEN
Credential M.D.
Practice Address 1700 Pacific Hwy Ste 311
San Diego
CA 92101-2417
Practice Telephone 6195156519
Practice Fax Number 6195156527
Mailing Telephone 6195156519
Mailing Fax Number 6195156527
Enumeration Date 2007-01-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
A46474 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1700 PACIFIC HWY STE 311
City SAN DIEGO
State CA
Zip Code 92101-2417

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1487172516 Jessica Roach Counselor 1045 9th Avenue, San Diego, CA 92101 2017-09-09
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003251901 Christine A. Thorne Preventive Medicine 330 Lewis St Ste 400, San Diego, CA 92103-2108 2013-05-06
1922363183 Samuel Park Preventive Medicine 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 2012-07-12
1013221506 Christopher J Phillips Preventive Medicine 700 W E St, Unit 1101, San Diego, CA 92101-5990 2010-07-27
1225349442 Patrick Eugene Olson Preventive Medicine 10395 Barrywood Way, San Diego, CA 92131-2214 2010-06-23
1699906545 Debra Marzelle Carroll Preventive Medicine 1313 Park Blvd Rm A-116, San Diego, CA 92101-4712 2009-07-27
1861515280 Daniel Zisook Preventive Medicine 3634 Caminito Carmel Lndg, San Diego, CA 92130-2507 2007-04-09
1164573234 Amol Narendra Doshi Preventive Medicine Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 2007-01-16
1487716411 Thomas Ross Coleman Preventive Medicine 3851 Rosecrans St Ste 522, Ms P511h, San Diego, CA 92110-3115 2006-12-15
1528037827 Sterling Scott Sherman Preventive Medicine 5840 Pacific Haven Ct, San Diego, CA 92121-4347 2006-03-17
1508836222 James Milton Richards Preventive Medicine 7575 Metropolitan Drive, Suite 104, San Diego, CA 92108 2006-01-25
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Competitor

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City SAN DIEGO
Zip Code 92101

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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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