Paul D Wooldridge (NPI# 1790904951, PAC ID# 0244383149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1790904951 |
| PAC ID by PECOS | 0244383149 |
| Professional Enrollment ID | I20090724000228 |
| Full Name | Paul D Wooldridge |
| Organization Legal Name | BLUEGRASS RADIOLOGY ASSOCIATES INC |
| Address |
305 Langdon St Somerset KY 42503-2750 |
| Phone Number | 6066797441 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284661836 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440031 | ROANE MEDICAL CENTER |
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| 440081 | LECONTE MEDICAL CENTER |
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| 440173 | PARKWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 | 8655469484 | VISTA RADIOLOGY, PC |
| 305 Langdon St, Somerset, KY 42503-2750 | 6066797441 | BLUEGRASS RADIOLOGY ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 93% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% |
| Organization Legal Name | BLUEGRASS RADIOLOGY ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M. Smith | Diagnostic Radiology | Bluegrass Radiology Associates Inc | 305 Langdon St, Somerset, KY 42503-2750 |
| William M Baker | Diagnostic Radiology | Bluegrass Radiology Associates Inc | 305 Langdon St, Somerset, KY 42503-2750 |
| Steven M Eberly | Diagnostic Radiology | Bluegrass Radiology Associates Inc | 305 Langdon St, Somerset, KY 42503-2750 |
| Street Address |
305 LANGDON ST |
| City | SOMERSET |
| State | KY |
| Zip | 42503-2750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S. Kottkamp | Anesthesiology | Cumberland Anesthesia Associates, Inc. | 305 Langdon St, Somerset, KY 42503-2750 |
| Michael E Helm | Physician Assistant | Apogee Medical Group Kentucky Psc | 305 Langdon St, Somerset, KY 42503-2750 |
| Rainer Oliver | Emergency Medicine | Southeastern Emergency Physicians LLC | 305 Langdon St, Somerset, KY 42503-2750 |
| Justin Timothy Pate | Certified Registered Nurse Anesthetist (crna) | Cumberland Anesthesia Associates, Inc. | 305 Langdon St, Somerset, KY 42503-2750 |
| Edward A J Grimball | Emergency Medicine | Southeastern Emergency Physicians LLC | 305 Langdon St, Somerset, KY 42503-2750 |
| Dannette S Cook | Hospitalist | Apogee Medical Group Kentucky Psc | 305 Langdon St, Somerset, KY 42503-2750 |
| Brian H Gaskins | Nurse Practitioner | Southeastern Emergency Services P C | 305 Langdon St, Somerset, KY 42503-2750 |
| Krishna Syamala | Family Medicine | Apogee Medical Group Kentucky Psc | 305 Langdon St, Somerset, KY 42503-2750 |
| Jennifer M. Smith | Diagnostic Radiology | Bluegrass Radiology Associates Inc | 305 Langdon St, Somerset, KY 42503-2750 |
| Christopher D Bonn | Emergency Medicine | Southeastern Emergency Physicians LLC | 305 Langdon St, Somerset, KY 42503-2750 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Heidi Renae Frey | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Eric D Johnson | Diagnostic Radiology | 607 Clifty St, Somerset, KY 42503-1765 | |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SOMERSET + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Paul D Wooldridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.