Dr. Marc Wooten, M.D.
Internal Medicine, Rheumatology in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1619984341
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619984341
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marc Wooten
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | H6716 | TX | Yes |
Practice location
2121 Lake AveDepartment Of Veterans Affairs (11)
Fort Wayne, IN 46805-5100
Phone 260-460-1311 · Fax 260-421-1827
Mailing address
2121 Lake AveDepartment Of Veterans Affairs (11)
Fort Wayne, IN 46805-5100
Phone 260-460-1311 · Fax 260-421-1827
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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