Duane M Wooten M.D. PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DUANE M WOOTEN M.D. PC

Doing business as

Duane M Wooten M.D. PC

Practice address

515 W Buckeye Rd Ste 306
Phoenix, AZ 85003-2650

Phone

(602) 374-4937

Fax

(602) 388-4261

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Duane M Wooten, M.D.

Title

Director

Phone

(602) 374-4937

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Duane M Wooten M.D. PC Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1336243070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032650",
            "telephone_number": "602-374-4937",
            "fax_number": "602-388-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032650",
            "telephone_number": "602-374-4937",
            "fax_number": "602-388-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE M WOOTEN M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-374-4937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "270843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duane M Wooten M.D. PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Raelene Duane, PTA
• Sardis Duany Caises, NP
• Andrew C Duarte, MD
• Lindsay Danielle Duarte, OTD, OTR/L
• Meghan Duarte

• Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.