Rebecca J Wotherspoon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29631 Issued in OK

Practice address

222 E Primrose St
Suite E
Springfield, MO 65807-5206

Phone

(417) 553-1080

Fax

(888) 712-7702

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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 and National Provider Directory roles.

• Elite Pain Management, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Springfield, MO
  • NPI 1609257773

  MO

  Medicare reassignment
• Freeman-Oak Hill Health System

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Pediatrics

  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1801984497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215731",
            "telephone_number": "580-379-6100",
            "fax_number": "580-379-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075206",
            "telephone_number": "417-553-1080",
            "fax_number": "888-712-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTHERSPOON",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "102581",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014010B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202710364",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Workman, M.D.
• Irish R Worley, MSW, LMSW
• Natalie Worley
• Freda A Worthon, MED, LPC, LPN
• Sydney R Worthy, MA, BCBA
• Emily J Wouk, MSN, FPMHNP, FNP
• Casey Aaron Wray, MS LPC
• Andy J. Wright, MD
• Emily D. Wright, MA, LPC
• Kelly Wright, MD

• Pediatrics Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.