MARK S WOMACK IV (NPI# 1689887788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689887788 |
| Entity Type | Individual |
| Full Name | MARK S WOMACK IV |
| Credential | M.D. |
| Practice Address |
605 Glenwood Drive Suite 200 Chattanooga TN 37404-1130 |
| Mailing Address |
Po Box 440100 Nashville TN 37244-0100 |
| Practice Telephone | 4236981844 |
| Practice Fax Number | 4236242226 |
| Mailing Telephone | 4236981844 |
| Mailing Fax Number | 4236242226 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD0000047306 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1525503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518183334 | Mark A Womack | Psychologist | 5340 Ringgold Rd Ste 100, Chattanooga, TN 37412-3194 | 2007-04-18 |
| 1437182334 | Mark G. Womack | Dentist | 952 Lupin Ave Ste 110, Chico, CA 95973-0933 | 2006-07-07 |
| Street Address |
605 GLENWOOD DRIVE SUITE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375333 | Ann H. Rybolt | Internal Medicine | 605 Glenwood Drive, Suite 404, Chattanooga, TN 37404 | 2005-09-09 |
| 1770780686 | Marcus M Wagner | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2007-07-03 |
| 1831210152 | Betsy J Washburn | Surgery | 605 Glenwood Drive, Suite 103, Chattanooga, TN 37404-1108 | 2007-04-03 |
| 1205996014 | Bertrand M Anz IIi | Internal Medicine | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2006-12-11 |
| 1619062924 | Frank Charles Kimsey | Radiology | 605 Glenwood Drive, Suite 208, Chattanooga, TN 37404 | 2006-10-03 |
| 1063510618 | Interventional Cardiology, Pllc | Internal Medicine | 605 Glenwood Drive, Suite 412, Chattanooga, TN 37404-1175 | 2006-09-20 |
| 1952379455 | Chattanooga Oncology and Hematology Associates | Internal Medicine | 605 Glenwood Drive, Ste 200, Chattanooga, TN 37404-1130 | 2006-03-09 |
| 1477528644 | Eric R Ellis | Specialist | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780632687 | Edward R. Arrowsmith | Internal Medicine | 605 Glenwood Avenue, Suite 200, Chattanooga, TN 37404-1130 | 2006-05-04 |
| 1356306443 | Chatt. Hamilton County Hospital Authority D/b/a Cancer Care Chatt. | Internal Medicine | 979 East Third Street, Suite A-0540/a-0550, Chattanooga, TN 37403 | 2006-04-20 |
| 1194711499 | Russell A Jones | Internal Medicine | 605 Glenwood Dr, Suite 200, Chattanooga, TN 37404-1130 | 2005-09-22 |
| 1679082440 | Melissa Lynn Miller | Internal Medicine | 6393 Lee Hwy, Chattanooga, TN 37421-2569 | 2017-09-25 |
| 1023458403 | Tennessee Cancer Specialists | Internal Medicine | 2525 Desales Avenue, Chattanooga, TN 37414-1102 | 2013-06-28 |
| 1689910986 | Tennessee Oncology, Pllc | Internal Medicine | 2200 E 3rd St, Suite 100, Chattanooga, TN 37404-2744 | 2012-12-14 |
| 1437494861 | Tennessee Oncology, Pllc | Internal Medicine | 605 Glenwood Dr, Suite 200, Chattanooga, TN 37404-1108 | 2012-12-12 |
| 1003163288 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 975 E 3rd St, Erlinger Medical Center, Chattanooga, TN 37403-2147 | 2012-08-07 |
| 1154612695 | Chattanooga Oncology and Hematology Associates | Internal Medicine | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2011-05-02 |
| 1255575270 | Gregory Ryan Sutton | Internal Medicine | 2200 E 3rd St, Suite 100, Chattanooga, TN 37404-2744 | 2009-04-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.