Organization Active NPI

Deborah S. Wooten, M.D., LLC

  • Gynecology Physician
  • Norwell, MA
National Provider Identifier
1255514923
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
DEBORAH S. WOOTEN, M.D., LLC
Practice address
201 River St
Norwell, MA 02061-2211
Phone
(781) 659-4084
Fax
(781) 659-4065
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Deborah Sandra Wooten, M.D.
Title
Owner
Phone
(781) 659-4084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

201 River St
Norwell, MA 02061-2211

Mailing address

201 River St
Norwell, MA 02061-2211
Phone (781) 659-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000171 MA Part B Supplier - Clinic/Group Practice 4688756984 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory

Locations

101 Court St
Plymouth, MA 02360
Phone (774) 269-7707

101 Court St
Ste 8
Plymouth, MA 02360
Phone (508) 732-7327

101 Court St
#8
Plymouth, MA 02360
Phone (508) 732-7327

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1255514923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVER ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612211",
            "telephone_number": "781-659-4084",
            "fax_number": "781-659-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVER ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612211",
            "telephone_number": "781-659-4084",
            "fax_number": "781-659-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH S. WOOTEN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-659-4084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.