DR. MARK A WOMACK (NPI# 1518183334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518183334 |
| Entity Type | Individual |
| Full Name | DR. MARK A WOMACK |
| Credential | ED.D. |
| Practice Address |
5340 Ringgold Rd Ste 100 Chattanooga TN 37412-3194 |
| Practice Telephone | 4236483150 |
| Practice Fax Number | 4236484305 |
| Mailing Telephone | 4236483150 |
| Mailing Fax Number | 4236484305 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P-1258 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437182334 | Mark G. Womack | Dentist | 952 Lupin Ave Ste 110, Chico, CA 95973-0933 | 2006-07-07 |
| 1689887788 | Mark S Womack Iv | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2007-05-07 |
| Street Address |
5340 RINGGOLD RD STE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1851692099 | George Henry Bercaw | Psychologist | 1145 N Concord Rd, Chattanooga, TN 37421-3848 | 2010-11-04 |
| 1023347838 | Mind Matters, LLC | Psychologist | 3146 Broad St, Chattanooga, TN 37408-3095 | 2009-12-08 |
| 1437357456 | Gaston Therapy, LLC | Psychologist | 112 Jordan Dr, Chattanooga, TN 37421-6802 | 2007-07-11 |
| 1063557106 | David John Caye | Psychologist | 1504a Mccallie Avenue, Chattanooga, TN 37404-0000 | 2007-02-20 |
| 1992850408 | Kimberlee Caroline Berry-sawyer | Psychologist | 3209 Ozark Cir, Chattanooga, TN 37415-5107 | 2007-01-24 |
| 1598814394 | Michael Kavkewitz | Psychologist | 6727 Heritage Business Ct, Suite 724, Chattanooga, TN 37421-7015 | 2007-01-09 |
| 1396809984 | William Alan Wray | Psychologist | 325 Market Street, Suite 305, Chattanooga, TN 37402-1247 | 2006-12-20 |
| 1316032634 | Carolyn E Davidson | Psychologist | 5751 Uptain Road, Suite 509, Chattanooga, TN 37411 | 2006-10-03 |
| 1134109788 | Linwood Alan Robertson | Psychologist | 4312 South Ter, Chattanooga, TN 37412-2904 | 2006-01-19 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
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| 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.