Dominick Ryan Woofter (NPI# 1760581326, PAC ID# 5597747758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1760581326 |
PAC ID by PECOS | 5597747758 |
Professional Enrollment ID | I20040602001216 |
Full Name | Dominick Ryan Woofter |
Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Address |
1664 E Pike St Clarksburg WV 26301-6011 |
Phone Number | 3047097000 |
Gender | M |
Credential | MD |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9335046754 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510006 | UNITED HOSPITAL CENTER |
510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
Address | Phone | Organization |
---|---|---|
1664 E Pike St, Clarksburg, WV 26301-6011 | 3047097000 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 83% |
Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Lynn Booth | Physician Assistant | Mountain State Medical Specialties, Pllc | 802 Wayne St, Suite 100, Marietta, OH 45750-3373 |
Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
Jeffrey B Jackson | Dermatology | Mountain State Medical Specialties, Pllc | 100 Seneca Rd, Elkins, WV 26241-9709 |
Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
Nicole A Koci | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
Street Address |
1664 E PIKE ST |
City | CLARKSBURG |
State | WV |
Zip | 26301-6011 |
Name | Specialty | Organization | Address |
---|---|---|---|
Olatokunbo Adeniyi | General Practice | 200 Rte 98 W, Suite 103, Nutter Fort, WV 26301 | |
Keith M Newman | Podiatry | 700 W Pike St, Suite 200, Clarksburg, WV 26301-2629 | |
James Selario | Optometry | 126 S Chestnut St, Clarksburg, WV 26301-2804 | |
Emerson T Que | Ophthalmology | United Hospital Center Inc | 211 S Chestnut St, Clarksburg, WV 26301-2832 |
Brittny N Paserba | Physician Assistant | United Hospital Center Inc | 211 S Chestnut St, Clarksburg, WV 26301-2832 |
Bryan William Danhires | Podiatry | 300 Buckhannon Pike, Clarksburg, WV 26301-3947 | |
Mark Pinti | Physical Therapy | Pinti Physical Therapy and Sports Medicine | 435 Buckhannon Pike, Nutter Fort, WV 26301-4307 |
Beth Griffith | Physical Therapy | Pinti Physical Therapy and Sports Medicine | 435 Buckhannon Pike, Nutter Fort, WV 26301-4307 |
Kelly Pinti | Physical Therapy | Pinti Physical Therapy and Sports Medicine | 435 Buckhannon Pike, Nutter Fort, WV 26301-4307 |
Alexis Ashley Pinti | Occupational Therapy | Pinti Physical Therapy and Sports Medicine | 435 Buckhannon Pike, Nutter Fort, WV 26301-4307 |
Find all physicians in zip 26301 |
City | CLARKSBURG |
Zip Code | 26301 |
Specialty | FAMILY MEDICINE |
City + Specialty | CLARKSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dominick Ryan Woofter.
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.