Jerry L. Woolum, M.D., P.S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JERRY L. WOOLUM, M.D., P.S.C.

Practice address

121 Virginia Avenue
Suite F200
Pineville, KY 40977

Phone

(606) 337-0860

Fax

(606) 337-9956

NPI assigned

Aug 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry L Woolum, MD

Title

MD

Phone

(606) 337-0860

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WOOLUM & COMBS-WOOLUM, P.S.C. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha C Combs-Woolum, MD

  • Internal Medicine Physician
  • Pineville, KY
  • NPI 1033121017

  Internal Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1265445845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VIRGINIA AVENUE",
            "address_2": "SUITE F200",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977",
            "telephone_number": "606-337-0860",
            "fax_number": "606-337-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VIRGINIA AVENUE",
            "address_2": "SUITE F200",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977",
            "telephone_number": "606-337-0860",
            "fax_number": "606-337-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. WOOLUM, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "WOOLUM",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "606-337-0860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOOLUM & COMBS-WOOLUM, P.S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Horizon Adult Health Care LLC
• Horizon Home Health Care, LLC
• Jimmie Howard, PTA
• Todd S. Jarosz, M.D.
• Jared Jeffrey
• Haley Teresa Johnson, PTA
• Rhonda M Keck, CRNA
• Shelia Marie Key, RPH
• Keystone Behavioral Health, PSC
• Audrey Craig Kinder, DMD

• All providers in Pineville, KY
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.