Jerry Woolum (NPI# 1467464446, PAC ID# 9830288240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1467464446 |
PAC ID by PECOS | 9830288240 |
Professional Enrollment ID | I20101210000357 |
Full Name | Jerry Woolum |
Organization Legal Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
Address |
3504 Cumberland Ave Middlesboro KY 40965-2612 |
Phone Number | 6062480737 |
Gender | M |
Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
Graduation Year | 1969 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 8123293818 |
Number of Group Practice Members | 33 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
181328 | KNOX COUNTY HOSPITAL |
180050 | HARLAN ARH HOSPITAL |
Address | Phone | Organization |
---|---|---|
3504 Cumberland Ave, Middlesboro, KY 40965-2612 | 6062480737 | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
Organization Legal Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tonya Renee Workman | Nurse Practitioner | Arh Mary Breckinridge Health Services, Inc. | 12579 Main St, Suite 101, Martin, KY 41649-7400 |
Abdel Anabtawi | Cardiovascular Disease (cardiology) | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Tina Whitehead | Nurse Practitioner | Arh Mary Breckinridge Health Services, Inc. | 17644 S Hwy 421, Big Creek, KY 40914 |
Peter K Kummant | General Surgery | Arh Mary Breckinridge Health Services, Inc. | 11087 Main St, Martin, KY 41649-7999 |
Latha Chandrashekar | Family Medicine | Arh Mary Breckinridge Health Services, Inc. | 130 Kate Ireland Dr, Hyden, KY 41749-9071 |
Jamie Wilder | Nurse Practitioner | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
James R West Jr. | Family Medicine | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
Ehtesham Ul Haq | Cardiovascular Disease (cardiology) | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Barbourville, KY 40906-7363 |
Thomas J Moore | Gastroenterology | Arh Mary Breckinridge Health Services, Inc. | 80 Hospital Dr, Suite 2, Barbourville, KY 40906-7363 |
Nitinkumar K Patel | Internal Medicine | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Street Address |
3504 CUMBERLAND AVE |
City | MIDDLESBORO |
State | KY |
Zip | 40965-2612 |
Name | Specialty | Organization | Address |
---|---|---|---|
Abdel Anabtawi | Cardiovascular Disease (cardiology) | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Nitinkumar K Patel | Internal Medicine | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Prem S Verma | Family Medicine | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Mohamed Shanshal | Hematology/oncology | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Amber Peace | Osteopathic Manipulative Medicine | Arh Mary Breckinridge Health Services, Inc. | 3504 Cumberland Ave, Middlesboro, KY 40965-2612 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leslie S Johnston | Nurse Practitioner | Brock Medical, LLC | 239 N 12th St, Middlesboro, KY 40965-1029 |
Tonya Michelle Turpin | Nurse Practitioner | Brock Medical, LLC | 239 N 12th St, Middlesboro, KY 40965-1029 |
Mary Catherine Caruso | Nurse Practitioner | Brock Medical, LLC | 239 N 12th St, Middlesboro, KY 40965-1029 |
Jeffery Paul Butler | Nurse Practitioner | Brock Medical, LLC | 239 N 12th St, Middlesboro, KY 40965-1029 |
Albert K Holmes | Ophthalmology | Baptist Eye Surgeons, Pllc | 473 N 12th St, Middlesboro, KY 40965-1133 |
Jason S Taylor | Chiropractic | Beacon of Light Family Chiropractic, Pllc | 311 N 12th St, Middlesboro, KY 40965-1135 |
Kimberly M Taylor | Chiropractic | Beacon of Light Family Chiropractic, Pllc | 311 N 12th St, Middlesboro, KY 40965-1135 |
Michelle Garrett | Optometry | Elite Vision Center LLC | 1403 Cumberland Ave, Suite A, Middlesboro, KY 40965-1158 |
Kyle M Barnes | Optometry | Elite Vision Center LLC | 1403 Cumberland Ave, Suite A, Middlesboro, KY 40965-1158 |
Grace C Runions | Nurse Practitioner | Life and Health Services | 1814 Cumberland Ave, Middlesboro, KY 40965-1229 |
Find all physicians in zip 40965 |
City | MIDDLESBORO |
Zip Code | 40965 |
Specialty | GENERAL SURGERY |
City + Specialty | MIDDLESBORO + GENERAL SURGERY |
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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.