MR. JERRY L WOOLUM (NPI# 1467464446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467464446 |
| Entity Type | Individual |
| Full Name | MR. JERRY L WOOLUM |
| Credential | MD |
| Practice Address |
80 Hospital Dr Ste 2 Barbourville KY 40906-7363 |
| Practice Telephone | 6065454460 |
| Practice Fax Number | 6065454469 |
| Mailing Telephone | 6065454460 |
| Mailing Fax Number | 6065454469 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 15458 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64154586 | 05 |
| Street Address |
80 HOSPITAL DR STE 2 |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457367898 | Raju N Vora | Internal Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2006-07-31 |
| 1770029126 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2017-01-10 |
| 1134679806 | Jamie Nicole Wilder | Nurse Practitioner | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2016-10-06 |
| 1538440649 | Mohamed Shanshal | Internal Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2011-09-01 |
| 1972822757 | Elizabeth Kathleen Lewgood Douglas | Family Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906 | 2010-05-19 |
| 1578756821 | Melanie Lind Dykes | Nurse Practitioner | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2007-08-21 |
| 1235211616 | Thomas James Moore | Internal Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265495063 | Velupillai Wignakumar | Surgery | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841811866 | Wayne County Surgical Services | Surgery | 1 S Creek Dr Ste 112, Monticello, KY 42633-9472 | 2020-04-30 |
| 1548757859 | Lexington Vein Institute Pllc | Surgery | 3116 Harrodsburg Rd, Lexington, KY 40503-2709 | 2018-04-23 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1134501679 | Gustavo Vincent Huerta | Surgery | 1760 Nicholasville Rd Ste 202, Lexington, KY 40503-1472 | 2015-06-21 |
| 1407237563 | Ashleigh Wright | Surgery | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2015-06-15 |
| 1427439561 | Jahan David Miremami | Surgery | 1 Trillium Way Ste 301, Corbin, KY 40701-8426 | 2015-06-15 |
| 1831585199 | Joseph Robert Lewis | Surgery | 2596 Roseville Rd, Glasgow, KY 42141-8460 | 2015-04-13 |
| 1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
| 1811300817 | Colin Talanda Fath | Surgery | University of Kentucky General Surgery 800 Rose St, Lexington, KY 40536-1009 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.