Individual provider Active NPI

Michael D Woolery, MD

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1881699114
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3507518 Issued in OH
Practice address
930 Bethesda Dr
Zanesville, OH 43701-0815
Phone
(740) 450-7396
Fax
(740) 450-7469
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3507518 OH Primary

Addresses

Primary practice location

930 Bethesda Dr
Zanesville, OH 43701-0815

Mailing address

860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651

Other identifiers 3

IdentifierTypeStateIssuer
CA0426OtherMEDICARE GROUP PTAN
0989499MedicaidOH
WO4020807OtherOHMEDICARE TYPE, UNSPECIFIED

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000374 OH Practitioner - Family Practice 1355408675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians

Practice addresses (Care Compare)

930 Bethesda Dr
Zanesville, OH 43701-0815
Phone (740) 455-3304

Hospital & facility affiliations

  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3507518OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group of Southeastern Ohio Inc Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Medical Home Primary Care Center Family Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

4063 Northpointe Dr
Ste B
Zanesville, OH 43701
Phone (740) 454-4651

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

751 Forest Ave
Ste 402
Zanesville, OH 43701
Phone (740) 452-1905

930 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-4848

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1881699114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011800",
            "telephone_number": "740-454-4651",
            "fax_number": "740-454-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-450-7396",
            "fax_number": "740-450-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLERY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3507518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "CA0426",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0989499",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE, UNSPECIFIED",
            "identifier": "WO4020807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.