WILLIAM H WOOTEN (NPI# 1770511420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770511420 |
| Entity Type | Individual |
| Full Name | WILLIAM H WOOTEN |
| Credential | MD |
| Practice Address |
104 Mcauley Dr Vicksburg MS 39183-2825 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6016387271 |
| Mailing Telephone | 6012004749 |
| Mailing Fax Number | 6012005929 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13924 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116922 | 05 | |
| MS | AETNA | 5389342 | 01 |
| LA | 1682811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786571 | William Wooten | Optometrist | 201 Executive Ct # A, Little Rock, AR 72205-4536 | 2018-07-05 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1245538537 | William Patrick Wooten | Pharmacist | 1106 John C. Calhoun, Orangeburg, SC 29115-3154 | 2011-03-10 |
| 1396963476 | William S Wooten | Dentist | 857 S Beckford Dr Ste F, Henderson, NC 27536-3486 | 2007-04-23 |
| 1548392814 | William Keith Wooten | Chiropractor | 5815 Red Arrow Hwy, Stevensville, MI 49127-1142 | 2007-03-12 |
| 1558828772 | William T Wooten | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-02-24 |
| 1659887982 | William Gregory Wooten | Behavior Technician | 2627 Park Ave, Cincinnati, OH 45206-1476 | 2017-12-22 |
| 1225314271 | William Godfrey Wooten | Family Medicine | 839 Canterbury Dr, Evansville, IN 47715-4231 | 2011-10-21 |
| 1295996213 | William Isler Wooten IIi | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatrics Specilaty Care Clinic, Greenville, NC 27834-3736 | 2008-06-23 |
| 1619198363 | William Keith Wooten | Registered Nurse | 510 E Clinton Ave, Athens, TX 75751-3410 | 2007-05-01 |
| Street Address |
104 MCAULEY DR |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861458762 | Mohammad A. Ahmed | Psychiatry & Neurology | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2006-04-21 |
| 1013337658 | Vicksburg Nephrology LLC | Internal Medicine | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2014-04-22 |
| 1508280066 | Stephanie Fay Phelan | Durable Medical Equipment & Medical Supplies | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2014-02-04 |
| 1396168290 | Diabetic Shoe Source | Durable Medical Equipment & Medical Supplies | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2014-01-28 |
| 1821431990 | Miranda R Mccaskill | Audiologist | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2013-04-09 |
| 1619140399 | Vicksburg Allergy and Asthma | Allergy & Immunology | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2008-04-02 |
| 1619149440 | Francine F Johnson | Dietitian, Registered | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2008-04-01 |
| 1376660290 | Suzanne Channell | Specialist/Technologist | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2007-03-24 |
| 1194753772 | Fitten L Mcmillin | Family Medicine | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2006-06-30 |
| 1154359818 | Stanley R Easterling | Family Medicine | 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497710685 | Jeffrey Morris | Internal Medicine | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2006-04-19 |
| 1114459070 | Thulasi Ram Gudi | Internal Medicine | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2017-03-30 |
| 1508278177 | Medical Associates of Vicksburg Pllc | Internal Medicine | 2080 S Frontage Rd, Vicksburg, MS 39180-5328 | 2014-05-29 |
| 1548557168 | Clary Ann Montalvo Galiano | Internal Medicine | 2100 Highway 61 N, Vicksburg, MS 39183 | 2011-07-03 |
| 1053642462 | Charles A. Marascalco | Internal Medicine | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2010-01-25 |
| 1518051705 | Feras Hamadeh | Internal Medicine | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2006-10-03 |
| 1568560530 | Joseph L Wilson | Internal Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2006-09-21 |
| 1730287707 | Joseph L Wilson Md Inc | Internal Medicine | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2006-09-21 |
| 1831120724 | Paul W Pierce | Internal Medicine | 2080 S Frontage Rd, Suite T, Vicksburg, MS 39180-5328 | 2006-07-06 |
| 1811928005 | Thomas K Sligh | Internal Medicine | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2006-07-05 |
| Find all providers in VICKSBURG | ||||
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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.