George A Wootan (NPI# 1720252927, PAC ID# 4880943299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720252927 |
| PAC ID by PECOS | 4880943299 |
| Professional Enrollment ID | I20191105002858 |
| Full Name | George A Wootan |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Address |
1 Atwell Rd Cooperstown NY 13326-1301 |
| Phone Number | 6075473480 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1963 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779488325 |
| Number of Group Practice Members | 559 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330136 | BASSETT HEALTHCARE |
| 331305 | O'CONNOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Atwell Rd, Cooperstown, NY 13326-1301 | 6075473480 | MARY IMOGENE BASSETT HOSPITAL |
| 460 Andes Rd, Delhi, NY 13753-7407 | 6077460300 | MARY IMOGENE BASSETT HOSPITAL |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Physicians | 631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Nomi-kaie Bennett | Psychologist, Clinical | Mary Imogene Bassett Hospital | 136 Pkwy Dr, Cobleskill, NY 12043-5150 |
| Sarah Hardy | Nurse Practitioner | Mary Imogene Bassett Hospital | 8 Park Pl, St Johnsville, NY 13452-1332 |
| Kristen A Herbst | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Associate Dr, Oneonta, NY 13820-2266 |
| Taylen C Peaden | Family Practice | Mary Imogene Bassett Hospital | 170 Burwell St, Little Falls, NY 13365-1716 |
| Laura A Everett | Nurse Practitioner | Mary Imogene Bassett Hospital | 55 Calvary Dr, Norwich, NY 13815-1032 |
| Sarah M | Nurse Practitioner | Mary Imogene Bassett Hospital | 140 Burwell St, Little Falls, NY 13365-1725 |
| Patrick William Mannal | Plastic and Reconstructive Surgery | Mary Imogene Bassett Hospital | Greystone Commercial Park, 4580 State Route 28, Milford, NY 13807-1147 |
| Jennifer Oreilly | Family Medicine | Mary Imogene Bassett Hospital | 39 Pearl St W, Sidney, NY 13838-1330 |
| Robert J Garfield | Family Medicine | Mary Imogene Bassett Hospital | 32 -34 Main St, Stamford, NY 12167-1241 |
| Street Address |
1 ATWELL RD |
| City | COOPERSTOWN |
| State | NY |
| Zip | 13326-1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Jonathan Michael Fillers | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Kristen M Peace | Emergency Medicine | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Elizabeth Guiney | Certified Nurse Midwife (cnm) | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Gary Wehner | Certified Registered Nurse Anesthetist (crna) | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Shamfa C Joseph | Internal Medicine | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Shirley A Earl | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Richelle C Takemoto | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Katie Scanlon | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Kanica Yashi | Internal Medicine | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dougals G Gable | Chiropractic | 186 Main St, Cooperstown, NY 13326-1137 | |
| Charles W Lamb | Clinical Psychologist | 71 Chestnut St, Cooperstown, NY 13326-1160 | |
| Susan M Diaz | Psychologist, Clinical | 103 Main St, Fl 3, Cooperstown, NY 13326-1224 | |
| Esther L Miller | Clinical Social Worker | 45 Pioneer St, Cooperstown, NY 13326-1278 | |
| Michael H Simons | Certified Registered Nurse Anesthetist (crna) | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Hilari R Head | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Matthew Reder | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| James Storey | Cardiac Electrophysiology | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Patrick M Navolanic | Radiation Oncology | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Jeremy Semeiks | Emergency Medicine | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Find all physicians in zip 13326 | |||
| City | COOPERSTOWN |
| Zip Code | 13326 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COOPERSTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on George A Wootan.
| 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.