Individual provider Active NPI

George A Wooming, MD

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1760457733
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J9449 Issued in TX
Practice address
12200 Park Central Drive
Suite #220
Dallas, TX 75251
Phone
(972) 661-5476
Fax
(972) 661-0333
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J9449 TX Primary

Addresses

Primary practice location

12200 Park Central Drive
Suite #220
Dallas, TX 75251

Mailing address

4514 Travis St
Ste 117
Dallas, TX 75205-5416
Phone (972) 661-5476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120118000830 TX Practitioner - Dermatology 2466629233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4514 Travis St
Suite 117
Dallas, TX 75205-5416
Phone (972) 661-5476

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions668
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
George a Wooming, MD, PA CurrentSince Apr 8, 2011 Accepting new patients

Locations

12200 Park Central Dr
Ste 220
Dallas, TX 75251
Phone (214) 363-4381

4514 Travis St
Ste 117
Dallas, TX 75205
Phone (214) 522-4330

6600 Paige Rd
Ste 105
The Colony, TX 75056
Phone (972) 625-5442

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1760457733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 TRAVIS ST",
            "address_2": "STE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055416",
            "telephone_number": "972-661-5476",
            "fax_number": "972-661-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DRIVE",
            "address_2": "SUITE #220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "972-661-5476",
            "fax_number": "972-661-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOMING",
        "first_name": "GEORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J9449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.