Paul Blake Wooden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

014165 Issued in ME

Practice address

115 Mt Blue Cir
Suite 3
Farmington, ME 04938-6239

Phone

(207) 778-6800

Fax

(207) 778-9800

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mainehealth

  • General Acute Care Hospital
  • Farmington, ME
  • NPI 1558305847
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• Mainehealth

  • Gynecologic Oncology Physician
  • Scarborough, ME
  • NPI 1851605455
  NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1538148978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MT BLUE CIR",
            "address_2": "SUITE 3",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386239",
            "telephone_number": "207-778-6800",
            "fax_number": "207-778-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MT BLUE CIR",
            "address_2": "SUITE 3",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386239",
            "telephone_number": "207-778-6800",
            "fax_number": "207-778-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "PAUL",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "014165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335310099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wicked Strong Direct Primary Care/Internal Medicine, PLLC
• James Hamilton Williams, MD
• Wilson Stream Family Practice LLC PA
• James McComb Witt IV, RPH
• Robert Scott Witt, RPH
• Woodlands Senior Living of Farmington, LLC (Park Residences of Farmington)
• Woodlands Senior Living of Farmington, LLC (Woodlands Assisted Living of Farmington)
• Woodlands Senior Living of Farmington, LLC (Woodlands Memory Care of Farmington)
• Work First, Inc.
• Leann Wright

• Family Medicine Physician in Farmington, ME
• Providers in Farmington, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.

Verify at the official NPI Registry.