Eric T. Wooten, D.O., PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ERIC T. WOOTEN, D.O., PSC

Practice address

1325 Andrea St
Ste. 209
Bowling Green, KY 42104-5852

Phone

(270) 842-1669

Fax

(270) 843-1911

NPI assigned

Aug 27, 2008

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric T. Wooten, D.O.

Title

President

Phone

(270) 842-1669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Snodgrass, M.D.

  • Surgical Critical Care Physician
  • Bowling Green, KY
  • NPI 1952578593
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1063660405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "STE. 209",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-842-1669",
            "fax_number": "270-843-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "STE. 209",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-842-1669",
            "fax_number": "270-843-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC T. WOOTEN, D.O., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-842-1669",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby England
• Jeff English
• Brian Adam Eppolito, PT
• Equity Dermatology, PLLC
• Jacqueline S Erbse, APRN, FNP-C
• Chelsea Erickson, LCSW
• Abby Elizabeth Erion, DPT
• John G Erskine, DC
• John Robert Erwin Jr., ATC, LAT, PES, CES
• Nicole Espey, LPCC

• Surgery Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.