Dominick Ryan Woofter
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC


Address: 1664 E Pike St, Clarksburg, WV 26301-6011
Phone: 3047097000

Dominick Ryan Woofter (NPI# 1760581326, PAC ID# 5597747758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1760581326
PAC ID by PECOS 5597747758
Professional Enrollment ID I20040602001216
Full Name Dominick Ryan Woofter
Organization Legal Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Address 1664 E Pike St
Clarksburg
WV 26301-6011
Phone Number 3047097000
Gender M
Credential MD
Medical School WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2001
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9335046754
Number of Group Practice Members 23
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510006 UNITED HOSPITAL CENTER
510001 WEST VIRGINIA UNIVERSITY HOSPITALS

Other Locations

Address Phone Organization
1664 E Pike St, Clarksburg, WV 26301-6011 3047097000 MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 83%

Organization Information

Organization Legal Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Physicians 23

Physicians with the same organization

Name Specialty Organization Address
Heather Lynn Booth Physician Assistant Mountain State Medical Specialties, Pllc 802 Wayne St, Suite 100, Marietta, OH 45750-3373
Alisha L Varner Physician Assistant Mountain State Medical Specialties, Pllc 204 Mary Higginson Ln, Uniontown, PA 15401-2657
Isha Woofter Family Medicine Mountain State Medical Specialties, Pllc 76 16th St, Suite 100a, Wheeling, WV 26003-3660
Jeffrey B Jackson Dermatology Mountain State Medical Specialties, Pllc 100 Seneca Rd, Elkins, WV 26241-9709
Kristin B Smucker Physician Assistant Mountain State Medical Specialties, Pllc 165 Scott Ave, Morgantown, WV 26508-8839
Sharifeh Farasat Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
John G Hancox Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
William Thomas Corder Allergy/immunology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Charles Bradley Franz Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Nicole A Koci Physician Assistant Mountain State Medical Specialties, Pllc 204 Mary Higginson Ln, Uniontown, PA 15401-2657

Office Location

Street Address 1664 E PIKE ST
City CLARKSBURG
State WV
Zip 26301-6011

Physicians in the same zip code

Name Specialty Organization Address
Olatokunbo Adeniyi General Practice 200 Rte 98 W, Suite 103, Nutter Fort, WV 26301
Keith M Newman Podiatry 700 W Pike St, Suite 200, Clarksburg, WV 26301-2629
James Selario Optometry 126 S Chestnut St, Clarksburg, WV 26301-2804
Emerson T Que Ophthalmology United Hospital Center Inc 211 S Chestnut St, Clarksburg, WV 26301-2832
Brittny N Paserba Physician Assistant United Hospital Center Inc 211 S Chestnut St, Clarksburg, WV 26301-2832
Bryan William Danhires Podiatry 300 Buckhannon Pike, Clarksburg, WV 26301-3947
Mark Pinti Physical Therapy Pinti Physical Therapy and Sports Medicine 435 Buckhannon Pike, Nutter Fort, WV 26301-4307
Beth Griffith Physical Therapy Pinti Physical Therapy and Sports Medicine 435 Buckhannon Pike, Nutter Fort, WV 26301-4307
Kelly Pinti Physical Therapy Pinti Physical Therapy and Sports Medicine 435 Buckhannon Pike, Nutter Fort, WV 26301-4307
Alexis Ashley Pinti Occupational Therapy Pinti Physical Therapy and Sports Medicine 435 Buckhannon Pike, Nutter Fort, WV 26301-4307
Find all physicians in zip 26301

Competitor

Search similar physicians

City CLARKSBURG
Zip Code 26301
Specialty FAMILY MEDICINE
City + Specialty CLARKSBURG + FAMILY MEDICINE

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Dataset Information

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.

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