Scotty G Dove (NPI# 1972622181, PAC ID# 8426115544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972622181 |
| PAC ID by PECOS | 8426115544 |
| Professional Enrollment ID | I20090317000382 |
| Full Name | Scotty G Dove |
| Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Address |
791 Fort Chiswell Rd Suite A Max Meadows VA 24360-4139 |
| Phone Number | 2762270460 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517972789 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 | 2762270460 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 | 2762282008 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2762280200 | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 87% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 6% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 11% |
| Organization Legal Name | WYTHE COUNTY PHYSICIAN PRACTICES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parrisa Bauker Rupe | Physician Assistant | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Annabelle Lee Pannell | Nurse Practitioner | Wythe County Physician Practices LLC | 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 |
| Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Joseph Terry | Obstetrics/gynecology | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Catherine D Harrington | Nurse Practitioner | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Derek C Gardner | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Street Address |
791 FORT CHISWELL RD SUITE A |
| City | MAX MEADOWS |
| State | VA |
| Zip | 24360-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parrisa Bauker Rupe | Physician Assistant | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Joseph Terry | Obstetrics/gynecology | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Catherine D Harrington | Nurse Practitioner | Wythe County Physician Practices LLC | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Williams | Family Practice | Family Medicine of Our Mountains PC | 245 Fort Chiswell Rd, Suite D, Max Meadows, VA 24360-3987 |
| City | MAX MEADOWS |
| Zip Code | 24360 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MAX MEADOWS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Scotty G Dove.
| 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.