Dennis Scott Wooley (NPI# 1184628075, PAC ID# 9335033349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184628075 |
| PAC ID by PECOS | 9335033349 |
| Professional Enrollment ID | I20040211000296 |
| Full Name | Dennis Scott Wooley |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Address |
95 Kingswood Dr Campbellsville KY 42718-9604 |
| Phone Number | 2704653812 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880616622 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180087 | TAYLOR REGIONAL HOSPITAL |
| 180149 | TJ HEALTH COLUMBIA |
| Address | Phone | Organization |
|---|---|---|
| 67 Kingswood Dr, Campbellsville, KY 42718-9647 | 2708492379 | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| 95 Kingswood Dr, Campbellsville, KY 42718-9604 | 2704653812 | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| 901 Westlake Dr, Columbia, KY 42728-1123 | 2703844753 | T J HEALTH COLUMBIA INC |
| Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Angel | Urology | Taylor Regional Medical Group, LLC | 1698 Old Lebanon Rd, 3b, Campbellsville, KY 42718-9662 |
| Meredith H Gilpin | Physician Assistant | Taylor Regional Medical Group, LLC | 325 W Walnut St, Lebanon, KY 40033-1382 |
| Courtney R Bowling | Nurse Practitioner | Taylor Regional Medical Group, LLC | 73 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Ashley P Turner | Physician Assistant | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
| Jason Alan Wright | Nurse Practitioner | Taylor Regional Medical Group, LLC | 325 N Walnut St, Lebanon, KY 40033-1377 |
| Leslie D Simmons | Nurse Practitioner | Taylor Regional Medical Group, LLC | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 |
| Diane L Thiery | Nurse Practitioner | Taylor Regional Medical Group, LLC | 127 Kingswood Dr, Campbellsville, KY 42718-9634 |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Jacquelyn Marie Brendel | Nurse Practitioner | Taylor Regional Medical Group, LLC | 67 Kingswood Dr, Campbellsville, KY 42718-9647 |
| Dorothy M Dudley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Street Address |
95 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-9604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy Thompson | Nurse Practitioner | Komg-louisville Region Inc | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Thomas L Rogers | Internal Medicine | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Tammy Harris | Nurse Practitioner | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Sean E Maynard | Physician Assistant | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMPBELLSVILLE + NURSE PRACTITIONER |
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| 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.