| Cole Wayne Wootton, MD | |
|
1800 W 1st St, Suite 106, Elk City, OK 73644-3133 | |
| (580) 243-2200 | |
| (580) 243-0812 |
| Full Name | Cole Wayne Wootton |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 1800 W 1st St, Elk City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881828556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | R2120 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Jackson County Memorial Hospital Authority | Altus, OK | Hospital |
| Great Plains Regional Medical Center | Elk city, OK | Hospital |
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oklahoma Proton Center Llc | 4183963861 | 14 |
| Urology Associates, Inc. | 5395763064 | 14 |
| Entity Name | Urology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659313252 PECOS PAC ID: 5395763064 Enrollment ID: O20051110000841 |
| Entity Name | Mangum City Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033635263 PECOS PAC ID: 6305119942 Enrollment ID: O20181020000126 |
| Entity Name | Oklahoma Proton Center Llc |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1114408762 PECOS PAC ID: 4183963861 Enrollment ID: O20190225000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Wayne Wootton, MD 11000 Hefner Pointe Dr, Oklahoma City, OK 73120-5039 Ph: (405) 749-9655 | Cole Wayne Wootton, MD 1800 W 1st St, Suite 106, Elk City, OK 73644-3133 Ph: (580) 243-2200 |
Dr. Joe Edward Coker, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1800 W 1st St, Elk City, OK 73644 Phone: 580-243-2200 |