Kimberly Grace Woomer, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

010190 Issued in OH

Practice address

340 E Town St
Suite 8-300
Columbus, OH 43215-4600

Phone

(614) 553-8883

NPI assigned

Jul 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

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 2

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Professional Services IncGroup PAC ID 4284672742, 77 clinicians

Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gallagher Hospice, LLC Hospice, Bridgeville, PA, CCN 391778
• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
• Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment Care Compare group NPD
• St Clair Professional Services Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1427270594
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1962795393
  NPD
• St Clair Professional Services Inc

  • Radiology Clinic/Center
  • Pittsburgh, PA
  • NPI 1366332934
  NPD
• St Clair Professional Services Inc

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1922772656
  NPD
• St Clair Memorial Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gallagher Hospice, LLC

  • Community Based Hospice Care Agency
  • Bridgeville, PA
  • NPI 1891169785
  Care Compare affiliation
• St Clair Memorial Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation
• West Penn Allegheny Health System, Inc

  • General Acute Care Hospital
  • Wexford, PA
  • NPI 1588269898
  Care Compare affiliation

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1790948263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600",
            "telephone_number": "614-553-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOMER",
        "first_name": "KIMBERLY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015578",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "010190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICARE LEGACY",
            "identifier": "H017360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney J Woollard, PT
• Gyunvelle Marie Woollet
• Elizabeth Woolley, MT-BC
• Bryce Woolsey, DDS
• Heather Woolum
• Anna Woos, SLP
• Ashley Nicole Wooten
• Jonathan Davis Wooten, DMD
• Karen H Wooten, RPH
• Bonnie Worby

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.