DR. MICHAEL S. WOMACK (NPI# 1962491134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962491134 |
Entity Type | Individual |
Full Name | DR. MICHAEL S. WOMACK |
Credential | M.D. |
Practice Address |
270 Chastain Rd Nw Kennesaw GA 30144-3012 |
Practice Telephone | 7704218005 |
Practice Fax Number | 7704245662 |
Mailing Telephone | 7704218005 |
Mailing Fax Number | 7704245662 |
Enumeration Date | 2005-10-19 |
Last Update Date | 2008-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 033759 | GA | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
033759 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518395128 | Michael Kevin Womack Sr. | Case Manager/Care Coordinator | 206 Burkle Ave, Poteau, OK 74953-2208 | 2013-10-16 |
1114938230 | Michael Wayne Womack | Chiropractor | 1430 Palm Bay Rd Ne, Suite C, Palm Bay, FL 32905-3829 | 2006-08-11 |
1336511252 | Michael Joseph Womack | Social Worker | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-10-30 |
1699185702 | Michael A Womack | Internal Medicine | 1265 Union Ave, Memphis, TN 38104 | 2014-04-29 |
1558645358 | Michael Scott Womack | Pharmacist | 115 W 3rd St, Elk City, OK 73644-4721 | 2011-09-29 |
1912950338 | Michael Scott Womack | Specialist | 100 E Idaho St, Suite, 204, Boise, ID 83712-6267 | 2006-05-18 |
Street Address |
270 CHASTAIN RD NW |
City | KENNESAW |
State | GA |
Zip Code | 30144-3012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679569180 | William S Armstrong | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-09-21 |
1164865424 | Laurie Malter Goldstein | Occupational Therapist | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2013-04-16 |
1407106438 | Leslie S Norden | Specialist/Technologist | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2012-09-18 |
1700180254 | Brian Christopher Evans | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2010-12-27 |
1770716326 | Whitney Nicole Swanson | Physical Therapist | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2009-08-31 |
1699913194 | Kevin Andrew Zember | Physical Therapist | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2009-01-22 |
1841462538 | Richard Brian Prater | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2008-04-02 |
1104953363 | Resurgens, PC | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2007-02-27 |
1073679668 | Frankie Elizabeth Davis | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2006-12-28 |
1790887891 | Jamie Michelle Tortorice | Specialist/Technologist | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2006-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
Find all providers in zip 30144 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134546625 | Rishin Jatin Kadakia | Orthopaedic Surgery | 100 Woodruff Cir, Suite 327, Atlanta, GA 30322-0001 | 2014-03-24 |
1326333402 | Michelle Coleman | Orthopaedic Surgery | 57 Executive Park S Ste 120, Atlanta, GA 30329-2248 | 2011-06-16 |
1992704514 | Steven Louis Shapiro | Orthopaedic Surgery | 6715 Forest Park Dr, Savannah, GA 31406-2507 | 2005-07-15 |
1194387571 | Nathaniel A Ptak | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-07-05 |
1487140950 | Kanesha Monique Gillyard | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-07-07 |
1952697336 | Michael Gary Hull | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-06-23 |
1205071552 | Daniel Lee Maxwell | Orthopaedic Surgery | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2008-12-15 |
1275601171 | Perimeter Orthopaedics, P.C. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342 | 2006-12-01 |
1477623098 | Paul Victor Spiegl Sr. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2006-11-09 |
1861562381 | Lamar L Fleming | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Suite 311, Atlanta, GA 30303-3049 | 2006-11-09 |
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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.