GLENN R. WOMACK M.D. PSC (NPI# 1962432153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962432153 |
| Entity Type | Organization |
| Organization Name | GLENN R. WOMACK M.D. PSC |
| Other Organization Name | BUFFALO TRACE FAMILY HEALTH CARE |
| Practice Address |
732 Elizaville Road Flemingsburg KY 41041 |
| Mailing Address |
732 Elizaville Road Po Box 344 Flemingsburg KY 41041 |
| Practice Telephone | 6068492323 |
| Practice Fax Number | 6068492025 |
| Mailing Telephone | 6068492323 |
| Mailing Fax Number | 6068492025 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | DR. GLENN R WOMACK (PRESIDENT) |
| Authorized Official Telephone | 6068492323 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15952 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 9590108800 | 05 | |
| KY | 65929143 | 05 | |
| KY | 78904141 | 05 |
| Other Name | Type Code |
|---|---|
| Buffalo Trace Family Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710141585 | Glenn R. Womack M.d. Psc | Clinic/Center | 732 Elizaville Road, Flemingsburg, KY 41041 | 2008-07-11 |
| Street Address |
732 ELIZAVILLE ROAD |
| City | FLEMINGSBURG |
| State | KY |
| Zip Code | 41041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295964468 | John L Doyle IIi | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2009-07-09 |
| 1710141585 | Glenn R. Womack M.d. Psc | Clinic/Center | 732 Elizaville Road, Flemingsburg, KY 41041 | 2008-07-11 |
| 1912160698 | Glenn R Womack Md Psc | Physician Assistant | 732 Elizaville Road, Flemingsburg, KY 41041 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769304 | J&c Investments Inc | Durable Medical Equipment & Medical Supplies | 116 Clark St, Flemingsburg, KY 41041 | 2017-09-11 |
| 1922489426 | Amy Leonard Monday | Physical Therapist | 65 Bluebank Lane, Flemingsburg, KY 41041 | 2015-06-11 |
| 1821227034 | Kimberly J Myers | Nutritionist | 194 Windsor Dr., Flemingsburg, KY 41041 | 2009-07-09 |
| 1003079781 | Glenn R Womack Md Psc | Nurse Practitioner | 732 Elizaville Rd, Flemingsburg, KY 41041 | 2008-07-03 |
| 1477748473 | Casey Sue Mason | Counselor | 15521 Ky 57, Flemingsburg, KY 41041 | 2007-09-12 |
| 1538280078 | Fleming Regional Medical Imaging, Pllc | Clinic/Center | 730 Elizaville Rd, Flemingsburg, KY 41041 | 2007-04-03 |
| 1881726347 | Fleming Medical Center LLC | Clinic/Center | 55 Foundation Drive, Flemingsburg, KY 41041 | 2007-03-11 |
| 1194850065 | Jill S. Price | Dentist | 46 Ashbrook Drive, Flemingsburg, KY 41041 | 2007-02-22 |
| 1104895234 | Roger K Owens | Physician Assistant | 169 Medical Park Drive, Flemingsburg, KY 41041 | 2006-03-14 |
| 1578562898 | Fleming County Ambulance District | Ambulance | 2343 Ky Hwy 11, Flemingsburg, KY 41041 | 2005-07-19 |
| Find all providers in zip 41041 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565580 | Michael D Dunaway | Family Medicine | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2006-02-06 |
| 1740270115 | Michael Alan Boyd | Family Medicine | 935 Elizaville Ave, Flemingsburg, KY 41041-9210 | 2005-10-26 |
| 1447662077 | Lindy Nettleton | Family Medicine | 732 Elizaville Ave, Flemingsburg, KY 41041 | 2014-06-02 |
| 1295964468 | John L Doyle IIi | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2009-07-09 |
| 1811160575 | Samuel W. Gehring, Psc | Family Medicine | 65 Energy Rd, Flemingsburg, KY 41041-9806 | 2008-04-02 |
| 1962474510 | Betsy E Bailey | Family Medicine | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2006-02-07 |
| 1457342354 | William Gordan Bacon | Family Medicine | 935 Elizaville Ave, Flemingsburg, KY 41041-9210 | 2005-10-31 |
| 1639164536 | Glenn Ruben Womack | Family Medicine | 732 Elizaville Ave, Flemingsburg, KY 41041-1139 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | FLEMINGSBURG |
| Zip Code | 41041 |
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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.