Theodore Paul Werblin


Address: 1051 Stafford Dr, Princeton, WV 24740-2409

Theodore Paul Werblin (NPI# 1356346662, PAC ID# 4385694777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1356346662
PAC ID by PECOS 4385694777
Professional Enrollment ID I20071112000397
Full Name Theodore Paul Werblin
Address 1051 Stafford Dr
Princeton
WV 24740-2409
Gender M
Credential MD
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1972
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510046 PRINCETON COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
1051 Stafford Dr, Princeton, WV 24740-2409

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1051 STAFFORD DR
City PRINCETON
State WV
Zip 24740-2409

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Name Specialty Organization Address
Melody S Ponce Nurse Practitioner Bluefield Gastroenterology Pllc 405 12th St, Princeton, WV 24740
Dana O Olson Diagnostic Radiology Professional Imaging, Inc. 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740
Afzal U Ahmed Diagnostic Radiology Professional Imaging, Inc. 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740
Michele Evans Smith Certified Registered Nurse Anesthetist (crna) Bluefield Gastroenterology Pllc 405 12th St, Princeton, WV 24740
Gopal M Pardasani Pathology Bluefield Gastroenterology Pllc 405 12th St, Princeton, WV 24740
David L Groten Diagnostic Radiology Professional Imaging, Inc. 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740
Dilip B Patel Diagnostic Radiology Professional Imaging, Inc. 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740
Tammie L Smith Psychologist, Clinical 105 Gott Rd, Princeton, WV 24740-2103
Nasreen R Dar Psychiatry 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139
Shahnaz I Rana Internal Medicine 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143
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Competitor

Search similar physicians

City PRINCETON
Zip Code 24740
Specialty OPHTHALMOLOGY
City + Specialty PRINCETON + OPHTHALMOLOGY

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Dataset Information

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.

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