Anna Ivanovna Wooten, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD424143 Issued in PA

Practice address

2605 Nicholson Rd
Suite 210
Sewickley, PA 15143-8896

Phone

(724) 759-7777

Fax

(724) 759-7780

NPI assigned

Mar 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Premier Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Wexford, PA
  • NPI 1760436349
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1831213727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON RD",
            "address_2": "SUITE 210",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438896",
            "telephone_number": "724-759-7777",
            "fax_number": "724-759-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON RD",
            "address_2": "SUITE 210",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438896",
            "telephone_number": "724-759-7777",
            "fax_number": "724-759-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "ANNA",
        "middle_name": "IVANOVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD424143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Howard Wilcox, MD
• Wilkinson Pristine Pines Senior Housing, LLC
• William Marasovich MD Inc
• Allison L Williams
• Alison Blake Wix, PA-C
• Bonnie Lee Workman
• Jamie Wright
• Stacey Louise Wurst, LCSW
• Aimee Wyant, PA-C
• Nicole Michelle Wyse, PA-C

• Plastic Surgery Physician in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.