Amy Noel Wooton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35085253 Issued in OH

Practice address

330 N Main St
Suite 101-102
Centerville, OH 45459-4465

Phone

(937) 433-0960

Fax

(937) 433-0958

NPI assigned

Oct 31, 2006

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Medical South Family Practice Assoc Inc

  • Family Medicine Physician
  • Centerville, OH
  • NPI 1659388320
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1427134675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "SUITE 101-102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-433-0960",
            "fax_number": "937-433-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "SUITE 101-102",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594465",
            "telephone_number": "937-433-0960",
            "fax_number": "937-433-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTON",
        "first_name": "AMY",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35085253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Raylynn Wilson, OTR/L
• Elin Winninge-Oakes, RBT
• Joy L Witwer, LISW-SUPV
• Kevin Andrew Wolf, PT, DPT
• Christin Taylor Wolfram, NP
• Blake Workman, MS LPCC, LCPC
• Debra Worrell, R.PH.
• Christopher L Wozniak, MSW, LSW, LICDC
• Angela Sue Wright, NP
• Kierstan Nicole Yahle

• Family Medicine Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.