DR. LEROY WOMBOLD (NPI# 1841267937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841267937 |
| Entity Type | Individual |
| Full Name | DR. LEROY WOMBOLD |
| Credential | DO |
| Practice Address |
122 E Main St Payson AZ 85541 |
| Mailing Address |
122 E Main St Payson AZ 85541-5574 |
| Practice Telephone | 9285964600 |
| Practice Fax Number | 9285964620 |
| Mailing Telephone | 9285964600 |
| Mailing Fax Number | 9285964620 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 005165 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 349989 | 05 |
| Street Address |
122 E MAIN ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158448 | Banner Cancer Center Specialists LLC | Clinic/Center | 122 E Main St, Payson, AZ 85541-5574 | 2018-06-14 |
| 1699950485 | Akdhc, Ll | Internal Medicine | 122 E Main St, Akdhc (mountain View Family Clinic), Payson, AZ 85541-0000 | 2007-12-31 |
| 1255488557 | Jennifer Dumbolton | Family Medicine | 122 E Main St, Payson, AZ 85541-5574 | 2007-01-05 |
| 1932156437 | Mountain View Family Medicine PC | Family Medicine | 122 E Main St, Payson, AZ 85541-5646 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255343455 | Peter A Innes | Surgery | 803 S Ponderosa St, Payson, AZ 85541-5521 | 2006-08-13 |
| 1619937232 | Luis A Munoz | Surgery | 708 S Coeur D'alene Suite B, Payson, AZ 85541-5662 | 2006-03-27 |
| 1700881950 | Matthew T Baker | Surgery | 1000 E 15 S, Ste 350, Payson, UT 84651 | 2005-06-15 |
| 1346549912 | Zachary D. Van Wagoner | Surgery | 1000 E 15 S, Ste 350, Payson, UT 84651-3246 | 2011-03-22 |
| 1942427679 | Katharine Ann Raymer | Surgery | 803 S Ponderosa St, Ste. C, Payson, AZ 85541-5521 | 2007-04-20 |
| 1629143144 | Mark D. Williams | Surgery | 803 S Ponderosa St, Suite C, Payson, AZ 85541-5521 | 2006-11-21 |
| 1124036231 | Max Kent Cannon | Surgery | 39 Professional Way, Suite 2, Payson, UT 84651-1675 | 2006-08-04 |
| 1518936939 | Luis Coppelli | Surgery | 708 Coeur D'alene, Payson, AZ 85541 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365702 | Ducharme General Surgery, Pllc | Surgery | 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 | 2020-10-27 |
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1588285910 | Casey Leonard Charlton | Surgery | 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 | 2020-04-27 |
| 1235760406 | Star Surgery Center, LLC | Surgery | 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 | 2020-01-28 |
| 1841842747 | Scottsdale Outpatient Surgery | Surgery | 8994 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-7901 | 2019-07-10 |
| 1730744228 | Zona Surgery Center, LLC | Surgery | 8994 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-7901 | 2019-05-09 |
| 1033684741 | Michael Joseph Pllc | Surgery | 29455 N Cave Creek Rd Ste 118-451, Cave Creek, AZ 85331-3245 | 2018-10-09 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1831686112 | Facasurgery LLC | Surgery | 1831 E Queen Creek Rd # 120, Chandler, AZ 85286-2019 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
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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.