Active NPI
Charles Stephen Woolums, MD
- Urology Physician
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35.133749
- Practice address
- 1735 27TH St Ste 308
Portsmouth, OH 45662-2679 - Phone
- (740) 356-4876
- Fax
- (740) 356-6703
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 34122 | KY | |
| Urology Physician | 208800000X | 25534 | WV | |
| Urology Physician | 208800000X | 35.133749 | OH | Primary |
Addresses
Primary practice location
1735 27TH St Ste 308
Portsmouth, OH 45662-2679
Mailing address
1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681
Other practice location 1
1115 20th Street
Suite 107
Huntington, WV 25703
Phone (304) 691-1900
Other practice location 2
5170 US Route 60
Huntington, WV 25705-2004
Phone (304) 528-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810026619 | Medicaid | WV | |
| 64049018 | Medicaid | KY | |
| 0091070 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charleswoolums@somc.medicity.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Urology
- Education
- University of Kentucky College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1735 27TH St
Portsmouth, OH 45662-2677
Phone (740) 356-7546
Hospital & facility affiliations
- Southern Ohio Medical Center
- King'S Daughters' Medical Center
- St Marys Medical Center
- Cabell Huntington Hospital, Inc
- Kings Daughters Medical Center Ohio
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34122 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients |
Locations
1735 27th St
Ste 308
Portsmouth, OH 45662
Phone (740) 353-1709
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
Interoperability endpoints
- charles.woolums@somc.medicity.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1699772665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 27TH ST STE B06",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622681",
"telephone_number": "740-356-8681",
"fax_number": "740-353-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 27TH ST STE 308",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622679",
"telephone_number": "740-356-4876",
"fax_number": "740-356-6703"
}
],
"practiceLocations": [
{
"address_1": "1115 20th Street",
"address_2": "Suite 107",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "25703",
"country_code": "US",
"telephone_number": "304-691-1900",
"fax_number": "304-691-1929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5170 US Route 60",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257052004",
"country_code": "US",
"telephone_number": "304-528-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOLUMS",
"first_name": "CHARLES",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "34122",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WV",
"license": "25534",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.133749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026619",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64049018",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091070",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charleswoolums@somc.medicity.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1735 27th St Ste 308",
"city": "Portsmouth",
"state": "OH",
"country_code": "US",
"postal_code": "456622679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.