JORDAN WOMACK


Address: 420 E 6th St Ste 104, Odessa, TX 79761
Phone: 4326141799

JORDAN WOMACK (NPI# 1205221017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205221017
Entity Type Individual
Full Name JORDAN WOMACK
Credential DPM
Practice Address 420 E 6th St Ste 104
Odessa
TX 79761
Mailing Address 420 E 6th St Ste 104
Odessa
TX 79761-4537
Practice Telephone 4326141799
Practice Fax Number 4322422918
Mailing Telephone 4326141799
Mailing Fax Number 4322422918
Enumeration Date 2015-03-30
Last Update Date 2018-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
5901002564 MI Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4214 Andrews Hwy Ste 305, Midland, TX 797034811 4326141799 8888286791
2338 Texas St Ste B, Pecos, TX 797727302 4326141799 8888286791

Office Location

Street Address 420 E 6TH ST STE 104
City ODESSA
State TX
Zip Code 79761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982661542 Steven Wade Fath Surgery 420 E 6th St Ste 104, Odessa, TX 79761-4537 2006-04-27
1518521400 Interventional Partners, LLC Podiatrist 420 E 6th St Ste 104, Odessa, TX 79761-4537 2019-04-25
1114159357 Guadalupe Valley Surgical Associates Pa Surgery 420 E 6th St Ste 104, Odessa, TX 79761-4537 2009-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482003 Endovascular Lab Pllc Surgery 612 N Washington Avenue, Suite 100, Odessa, TX 79761 2020-03-16
1235627605 Megan Elizabeth Lemond Pediatrics 912 E 5th St, Odessa, TX 79761 2018-05-01
1922522630 Brian W Griffin Nurse Practitioner 4606 Fountain Ln., Odessa, TX 79761 2017-08-03
1023540507 Florenda De Guzman Nurse Practitioner 405 N Tom Green, Odessa, TX 79761 2017-04-03
1205378239 Scotty R Ortega Md Clinical Nurse Specialist 2487 E 11th Street, Odessa, TX 79761 2016-11-08
1487094355 Marivel Perez Nurse Practitioner 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 2013-06-25
1245579804 Accurate Health Care LLC Home Health 302 Industrial Ave, Odessa, TX 79761 2013-02-01
1437421666 Mary Magdalene Garcia Speech-Language Pathologist 620 N. Alleghaney, Odessa, TX 79761 2012-02-03
1841576378 Ashley Burdex Family Medicine 6030 W University, Odessa, TX 79761 2011-10-28
1730465428 Therese A Archer Massage Therapist 712 N. Texas Ave, Odessa, TX 79761 2011-10-26
Find all providers in zip 79761

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518521400 Interventional Partners, LLC Podiatrist 420 E 6th St Ste 104, Odessa, TX 79761-4537 2019-04-25
1962743203 Basin Podiatry P A Podiatrist 2903 Billy Hext Road, Odessa, TX 79765 2013-03-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748656 Lonestar Foot and Ankle Surgical Associates, Pllc Podiatrist 515 E Court St Ste 300, Seguin, TX 78155-5726 2020-10-19
1528665437 New Horizon Foot and Ankle Specialists Podiatrist 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 2020-10-04
1467067603 Katy Foot & Ankle Pllc Podiatrist 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 2020-09-14
1154932812 Delara Foot and Ankle Pllc Podiatrist 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 2020-08-14
1245858265 Biel Foot & Ankle Specialists Pllc Podiatrist 19002 Park Row, Suite 100, Houston, TX 77084 2020-07-07
1013536952 Select Foot and Ankle Specialists, P.l.l.c. Podiatrist 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 2020-04-10
1871129445 Interventional Partners LLC Podiatrist 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 2020-03-16
1073149647 Interventional Partners LLC Podiatrist 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 2020-03-16
1053947622 Interventional Partners LLC Podiatrist 915 Gessner Rd Ste 380, Houston, TX 77024-2519 2020-03-16
1245866813 Interventional Partners LLC Podiatrist 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 2020-03-16
Find all providers with the same taxonomy

Competitor

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City ODESSA
Zip Code 79761

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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