Wanda M Boote, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

53607 Issued in FL

Practice address

2060 5TH Ave N
St Petersburg, FL 33713-8012

Phone

(727) 895-3376

Fax

(727) 362-3376

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score

90.1 of 100Reported as individual

Quality

82.01

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wanda.boote.1@8834.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8834/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wanda M Boote MD PA

  • Specialist
  • St Petersburg, FL
  • NPI 1366639569
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1063517050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138012",
            "telephone_number": "727-895-3376",
            "fax_number": "727-362-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138012",
            "telephone_number": "727-895-3376",
            "fax_number": "727-362-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTE",
        "first_name": "WANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "53607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROV NUMBER",
            "identifier": "070012797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Lynn Bonnet, ARNP
• Robert Bonser, DMD
• Ernst Bontemps, MD
• Joseph A Booker, LCSW
• Erin Boone
• Louise Helen Boothby-Llorente, PH.D.
• Karen Boozy, BA
• Brittany Lynette Bordeaux, SLPA
• Amanda Glynne Borden
• Heather Borders, MBA, RD, LD/N

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.