DR. GEORGE ALLEN WOOTAN (NPI# 1720252927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720252927 |
| Entity Type | Individual |
| Full Name | DR. GEORGE ALLEN WOOTAN |
| Credential | MD |
| Practice Address |
4379 Route 28a West Shokan NY 12494-5110 |
| Practice Telephone | 8457047046 |
| Mailing Telephone | 8457047046 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 096518 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4379 ROUTE 28A |
| City | WEST SHOKAN |
| State | NY |
| Zip Code | 12494-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013168640 | Joan Marie Zinter | Orthotist | 3463 Route 28a, West Shokan, NY 12494 | 2008-10-01 |
| 1780932558 | Laurel Porterfield Manly | Specialist | 12 Fada Lane, West Shokan, NY 12494-0122 | 2012-08-27 |
| 1619129210 | Barbara Hale Terpening | Registered Nurse | 130 Brodhead Rd, West Shokan, NY 12494-5339 | 2008-10-15 |
| 1902349491 | Sejin Lim | Acupuncturist | 596 Watson Hollow Rd, West Shokan, NY 12494-5422 | 2016-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902349491 | Sejin Lim | Acupuncturist | 596 Watson Hollow Rd, West Shokan, NY 12494-5422 | 2016-12-01 |
| 1780932558 | Laurel Porterfield Manly | Specialist | 12 Fada Lane, West Shokan, NY 12494-0122 | 2012-08-27 |
| 1619129210 | Barbara Hale Terpening | Registered Nurse | 130 Brodhead Rd, West Shokan, NY 12494-5339 | 2008-10-15 |
| 1013168640 | Joan Marie Zinter | Orthotist | 3463 Route 28a, West Shokan, NY 12494 | 2008-10-01 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST SHOKAN |
| Zip Code | 12494 |
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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.