DR. SCOTT GREGORY WOMACK (NPI# 1649393679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649393679 |
Entity Type | Individual |
Full Name | DR. SCOTT GREGORY WOMACK |
Credential | M.D. |
Practice Address |
110 S Pantops Dr Charlottesville VA 22911-8672 |
Mailing Address |
110 South Pantops Dr. Charlottesville VA 22911 |
Practice Telephone | 4349775160 |
Practice Fax Number | 4349775202 |
Mailing Telephone | 4349775160 |
Mailing Fax Number | 4349775202 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2017-09-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 0101241345 | VA | Allopathic & Osteopathic Physicians |
Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
0101241345 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | DMERC | 0756400001 | 01 |
VA | PALMETTO RR MEDICARE | P00427498 | 01 |
VA | ANTHEM | 301551 | 01 |
Street Address |
110 S PANTOPS DR |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22911-8672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215934864 | William A. Macilwaine | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
1184037129 | Jenna May Kim | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2014-06-07 |
1598023228 | William Scott Grover | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2012-05-01 |
1548200280 | Charlottesville Eye Associates Ltd | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2006-06-08 |
1427058387 | Charlottesville Eye Associates | Eyewear Supplier (Equipment, not the service) | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-07-21 |
1992703730 | Charlottesville Eye Associates | Eyewear Supplier (Equipment, not the service) | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-07-13 |
1295732840 | Mark A Gonce | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
1558368100 | Richard W Morton | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
Find all providers in zip 22911 |
Taxonomy Code | 207WX0009X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Glaucoma Specialist |
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
City | CHARLOTTESVILLE |
Zip Code | 22911 |
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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.