Active NPI
Nathan Wayne Woolsey, M.D.
- Surgery Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A116222
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A116222 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | A116222 | CA | Primary |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 459-5196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Marshall Way
Placerville, CA 95667-5722
3581 Palmer Dr
Suite 602
Cameron Park, CA 95682-8238
Phone (530) 672-7000
Hospital & facility affiliations
- Marshall Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 17 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116222 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Marshall Medical Center | Current | Accepting new patients | |
| Vohra Wound Physicians of Ca, P.C. | Family Medicine | Current | Accepting new patients |
| Marshall Medical Center | Family Medicine | Current | Accepting new patients |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
1095 Marshall Way
Ste 202
Placerville, CA 95667
Phone (530) 626-3682
180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Family Medicine Physician
- Dinuba, CA
- NPI 1841599339
-
- Addiction Medicine (Family Medicine) Physician
- Placerville, CA
- NPI 1073088316
-
- Interventional Cardiology Physician
- Placerville, CA
- NPI 1215181664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1427359488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-459-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLSEY",
"first_name": "NATHAN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-08",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A116222",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A116222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.