Martha Combs Woolum MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26212 Issued in KY

Legal business name

MARTHA COMBS WOOLUM MD PLLC

Practice address

121 W Virginia Ave
Suite F200
Pineville, KY 40977-1661

Phone

(606) 337-8119

Fax

(606) 337-9956

NPI assigned

Jun 21, 2012

Last updated

Nov 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha C Combs-Woolum, MD

Title

Owner

Phone

(606) 337-8119

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry L Woolum, MD

  • Surgery Physician
  • Barbourville, KY
  • NPI 1467464446
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1780947085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "address_2": "SUITE F200",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-8119",
            "fax_number": "606-337-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "address_2": "SUITE F200",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-8119",
            "fax_number": "606-337-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA COMBS WOOLUM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "COMBS-WOOLUM",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-337-8119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "26212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pineville, KY
• Providers in Pineville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.