| Dr Charles Stephen Woolums, MD | |
|
1735 27th St Ste 308, Portsmouth, OH 45662-2679 | |
| (740) 356-4876 | |
| (740) 356-6703 |
| Full Name | Dr Charles Stephen Woolums |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 1735 27th St Ste 308, Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699772665 | NPI | - | NPPES |
| 3810026619 | Medicaid | WV | |
| 64049018 | Medicaid | KY | |
| 0091070 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 34122 (Kentucky) | Secondary |
| 208800000X | Urology | 25534 (West Virginia) | Secondary |
| 208800000X | Urology | 35.133749 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Stephen Woolums, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Dr Charles Stephen Woolums, MD 1735 27th St Ste 308, Portsmouth, OH 45662-2679 Ph: (740) 356-4876 |
William Thurn Esham, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1611 27th St, Bldg. J, Suite 102, Portsmouth, OH 45662 Phone: 740-353-3189 Fax: 740-353-7672 | |
Christopher W Schmidt, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 1735 27th St, Bldg C Suite 205, Portsmouth, OH 45662 Phone: 740-355-1900 Fax: 740-355-1909 |