Mark Edwin Woolley, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

7081436-0501 Issued in UT

Practice address

955 Chambers St Ste 200
South Ogden, UT 84403-4519

Phone

(801) 409-2100

Fax

(801) 475-6169

NPI assigned

Dec 3, 2008

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wasatch Foot and Ankle Institute LLCGroup PAC ID 0244460988, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: markwoolley@wfaai-ut.direct.office.nextgen.com

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.

• Wasatch Foot & Ankle Institute, LLC

  • Foot & Ankle Surgery Podiatrist
  • South Ogden, UT
  • NPI 1225377930
  Medicare reassignment Care Compare group NPD
• The Foot and Ankle Health Center, LLC

  • Podiatrist
  • South Ogden, UT
  • NPI 1881644052
  NPD
• Stephen L Barrett DPM PA

  dba Barrett Foot & Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
  • NPI 1780710434
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1629213780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 200",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034519",
            "telephone_number": "801-627-2122",
            "fax_number": "801-627-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 200",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034519",
            "telephone_number": "801-409-2100",
            "fax_number": "801-475-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6028 S Ridgeline Drive",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844056914",
            "country_code": "US",
            "telephone_number": "801-409-2100",
            "fax_number": "801-475-5286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "473 W Bourne Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840253655",
            "country_code": "US",
            "telephone_number": "801-451-7500",
            "fax_number": "801-451-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "MARK",
        "middle_name": "EDWIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0718",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1946",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "7081436-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braken Wooden, D.C.
• Wesley Van Wooden, DC
• Dale A Woodfield, O.D.
• Korrie Woodruff, RBT
• Kaileen Woods, RBT
• Paige Worthington, RBT
• Kristin B Worton, LMT
• Sheri Wyatt
• Francis X Yubero, M.D
• Ali Zacher, RBT

• Foot & Ankle Surgery Podiatrist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.

Verify at the official NPI Registry.