Andrew J Gulbis (NPI# 1720216443, PAC ID# 0547407645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720216443 |
| PAC ID by PECOS | 0547407645 |
| Professional Enrollment ID | I20130509000193 |
| Full Name | Andrew J Gulbis |
| Organization Legal Name | WOODROME MEDICAL PA |
| Address |
1930 Us Hwy 190 W Total Health and Wellness Clinic Livingston TX 77351-9600 |
| Phone Number | 9363279944 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476553579 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450395 | MEMORIAL MEDICAL CENTER LIVINGSTON |
| Address | Phone | Organization |
|---|---|---|
| 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 | 9363279944 | WOODROME MEDICAL PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 67% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 76% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | WOODROME MEDICAL PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laconia A Bacon | Nurse Practitioner | Woodrome Medical Pa | 613 W Bluff, Dogwood Family Clinic, Woodville, TX 75979-5125 |
| David Alan Price | Physician Assistant | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Robert G Woodrome | Family Medicine | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Crissy Dawn Kicak | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Kenneth M Fuller | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Dayna Michelle Lobue | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Street Address |
1930 US HWY 190 W TOTAL HEALTH AND WELLNESS CLINIC |
| City | LIVINGSTON |
| State | TX |
| Zip | 77351-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alan Price | Physician Assistant | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Robert G Woodrome | Family Medicine | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Crissy Dawn Kicak | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Kenneth M Fuller | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Dayna Michelle Lobue | Nurse Practitioner | Woodrome Medical Pa | 1930 Us Hwy 190 W, Total Health and Wellness Clinic, Livingston, TX 77351-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Buescher | Family Medicine | 219 N Eastwood, Livingston, TX 77351 | |
| Prashant Kumar | Nephrology | E T Nephrology Associates Pa | 403 Ogletree, Suite 110, Livingston, TX 77351 |
| Tiffany D Jones Lee | Chiropractic | 312 E Church St, Livingston, TX 77351-2914 | |
| Ethany Elizabeth Howden | Nurse Practitioner | Regional Employee Assistance Program Inc | 303 N E Ave, Livingston, TX 77351-2964 |
| William E Watson | Optometry | 1110 W Church St, Livingston, TX 77351-3017 | |
| Jenny Hegedus | Physical Therapy | Livingston Physical Therapy Inc | 305 W Mill St, Livingston, TX 77351-3299 |
| Vivian B Ellis | Physical Therapy | Livingston Physical Therapy Inc | 305 W Mill St, Livingston, TX 77351-3299 |
| Jeffrey L Luna | Family Medicine | 219 Eastwood Ave, Livingston, TX 77351-3342 | |
| Jerry D Wood | Family Medicine | 219 Eastwood Ave, Livingston, TX 77351-3342 | |
| Raymond J Luna | Family Medicine | 219 Eastwood Ave, Livingston, TX 77351-3342 | |
| Find all physicians in zip 77351 | |||
| City | LIVINGSTON |
| Zip Code | 77351 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIVINGSTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.