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Active NPI 1063148948 Individual Practitioner Female Practitioner

Mary Jennifer Wootten

Driver • Medina, OH

Professional Overview & Biography Verified Profile Summary

Mary Wootten is a registered healthcare professional specializing in Driver in Medina, OH. Practice services are available at 4989 SHADY BROOKE RUN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4989 Shady Brooke Run

Medina, OH 442568282

Telephone 4403511198

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Medina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Medina, OH (1080 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-25
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2022

Registered at 4989 SHADY BROOKE RUN, MEDINA, OH 442568282 (Tel: 4403511198)

📍
Updated Business Mailing Address July 25, 2022

Registered at 4989 SHADY BROOKE RUN, MEDINA, OH 442568282 (Tel: 4403511198)

👤
Provider Name / Credentials Updated July 25, 2022

Recorded as MARY WOOTTEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Driver

🟢
Initial NPI Registration & Enumeration July 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063148948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2022
Last Update: July 25, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

4989 Shady Brooke Run

Medina, OH 442568282

Phone: 4403511198

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.