Gerald Don Wootan (NPI# 1518063932, PAC ID# 5496721037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1518063932 |
| PAC ID by PECOS | 5496721037 |
| Professional Enrollment ID | I20100303000772 |
| Full Name | Gerald Don Wootan |
| Address |
715 W Main St S Jenks OK 74037-3553 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 715 W Main St S, Jenks, OK 74037-3553 |
| Street Address |
715 W MAIN ST S |
| City | JENKS |
| State | OK |
| Zip | 74037-3553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Marie Mcelroy | Obstetrics/gynecology | Jenks Health Team, LLC | 715 W Main St S, Jenks, OK 74037-3553 |
| Leah A Upton | Family Practice | Jenks Health Team, LLC | 715 W Main St S, Jenks, OK 74037-3553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra B Schroeder | Nurse Practitioner | 1201 W Main St, Main Street Family Clinic, Jenks, OK 74037-2311 | |
| Sarah E Arnold | Chiropractic | 9428 S Elwood, Suite 102, Jenks, OK 74037-2317 | |
| Karen J Morgan Vanderlick | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | |
| Andrew R Briggeman | Physical Medicine and Rehabilitation | 1115 W 108th Pl S, Jenks, OK 74037-2428 | |
| Sharon R. Smith | Clinical Social Worker | Community Pathways Unlimited Inc | 711 N 5th St, Jenks, OK 74037-3343 |
| Brandon J Hadel | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Amy E Slama | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Eric Fernandez | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Hernan Aguilos | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| April L Phillips | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Find all physicians in zip 74037 | |||
| City | JENKS |
| Zip Code | 74037 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JENKS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gerald Don 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.