Ambachew G Woreta, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0031905 Issued in MD

Practice address

4660 Wilkens Ave
Suite 203
Baltimore, MD 21229-4848

Phone

(410) 242-5520

Fax

(410) 242-5627

NPI assigned

Feb 24, 2006

Last updated

Oct 30, 2009By the provider in NPPES

Sex

Male

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

Enrolled in MD

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

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1558337071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 SHEPPARD MANOR DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421454",
            "telephone_number": "410-242-5520",
            "fax_number": "410-242-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE",
            "address_2": "SUITE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294848",
            "telephone_number": "410-242-5520",
            "fax_number": "410-242-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORETA",
        "first_name": "AMBACHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0031905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430551500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Wooten
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• Nikki Ramona Wooten, MSW, LCSW-C
• Christy Wooton, LCSW-C
• Brenda Worcester, NP
• Workit Health Mi PLLC
• Workit Health Mi PLLC
• Meklit Workneh, M.D.
• Zelalem Workneh
• Worley Marvenko PA (Chiropractic Works)

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.