Active NPI
Dawn Andrea Woodroof, MD
- Diagnostic Radiology Physician
- Russell Springs, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A84696
- Practice address
- 38 Joe T Petty Drive
Russell Springs, KY 42642-8553 - Phone
- (606) 658-9535
- Fax
- (270) 266-4189
- NPI assigned
- Oct 4, 2007
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A84696 | CA | Primary |
Addresses
Primary practice location
38 Joe T Petty Drive
Russell Springs, KY 42642-8553
Mailing address
PO Box 1430
Frankfort, KY 40602-1430
Phone (502) 226-3858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43825 | Other | KY | KENTUCKY BOARD OF MEDICAL LICENSURE |
| A84696 | Other | CA | CA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Oklahoma College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
38 Dr Joe T Pettey Dr
Russell Springs, KY 42642-8533
Phone (606) 658-9535
PO Box
Suite 278
Russell Springs, KY 42642
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 55 of 100
- Quality
- 10
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84696 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KBC Somerset Imaging PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Kentucky Breast Care | Diagnostic Radiology | Current | Accepting new patients |
Locations
38 Joe T Petty Dr
Russell Springs, KY 42642
Phone (606) 658-9535
100 Sarahs Ln
Somerset, KY 42503
Phone (606) 219-4184
40 Turpen Ct
#B
Somerset, KY 42503
Phone (606) 658-9535
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-kbc
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Somerset, KY
- NPI 1093122046
-
- Diagnostic Radiology Physician
- Russell Springs, KY
- NPI 1295097319
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
dba Lake Cumberland Regional Hospital
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1417145392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406021430",
"telephone_number": "502-226-3858",
"fax_number": "502-227-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 JOE T PETTY DRIVE",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426428553",
"telephone_number": "606-658-9535",
"fax_number": "270-266-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODROOF",
"first_name": "DAWN",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A84696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF MEDICAL LICENSURE",
"identifier": "43825",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE NUMBER",
"identifier": "A84696",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russell Springs, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.