Active NPI
Michael D Woolery, MD
- Family Medicine Physician
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3507518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA0426 | Other | MEDICARE GROUP PTAN | |
| 0989499 | Medicaid | OH | |
| WO4020807 | Other | OH | MEDICARE 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
Enrollment records 1
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
Practice addresses (Care Compare)
930 Bethesda Dr
Zanesville, OH 43701-0815
Phone (740) 455-3304
Hospital & facility affiliations
- Genesis Home Care
- Genesis Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3507518 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group of Southeastern Ohio Inc | Family Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
Family Medicine
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1578870911
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- Home Health Agency
- Zanesville, OH
- NPI 1568772721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.