Ann Marie Wotherspoon, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E 3518 Issued in CA

Practice address

1425 Fruitdale Ave.
San Jose, CA 95128

Phone

(408) 448-2680

NPI assigned

Oct 2, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124112578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 ROSSWOOD DR.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245223",
            "telephone_number": "408-448-2680",
            "fax_number": "408-448-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 FRUITDALE AVE.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-448-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTHERSPOON",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E 3518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5372519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Burton E Worrell, O.D.
• Terrell Worthy, PPS
• Katherine Woten, RD
• Richard Charles Wren
• Yoevita Wrensch, L.AC.
• Karen Wride
• Allan Macdonald Wright, M.D.
• Carl Wright Jr.

• Podiatrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.