WOMACK ARMY MEDICAL CENTER (NPI# 1013148345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013148345 |
| Entity Type | Organization |
| Organization Name | WOMACK ARMY MEDICAL CENTER |
| Practice Address |
Womack Army Medical Center 2817 Reilly Rd Family Medicine Clinic Fort Bragg NC 28310 |
| Mailing Address |
2817 Reilly Rd Mcxc-cod Credentials Womack Army Medical Center Fort Bragg NC 28310-7324 |
| Practice Telephone | 9109078007 |
| Practice Fax Number | 9109078630 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | DR. LEIGH-ANNE R LINDENMUTH (RESIDENT PHYSICIAN) |
| Authorized Official Telephone | 9109078922 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 390200000X | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356907471 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 4-2817 Reilly Rd Bldg B, Fort Bragg, NC 28310-0001 | 2019-05-14 |
| 1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
| 1861867293 | Womack Army Medical Center | Military Hospital | 2817 Reily Road, Fort Bragg, NC 28317 | 2015-12-10 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| 1205206935 | Womack Army Medical Center | Clinic/Center | 3908 Longstreet, Bldg 3-4303, Fort Bragg, NC 28310-0001 | 2015-10-07 |
| 1932577368 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | 55 Centennial Pkwy, Cameron, NC 28326-4013 | 2015-09-02 |
| 1578951042 | Womack Army Medical Center | Clinic/Center | 55 Centennial Parkway, Cameron, NC 28326 | 2015-01-06 |
| 1801215660 | Womack Army Medical Center | Clinic/Center | 2857 Watson St, Bldg M-1704, Fort Bragg, NC 28310-0001 | 2014-04-09 |
| 1710306576 | Womack Army Medical Center | Clinic/Center | Tagaytay Rd Bldg C-1624, Fort Bragg, NC 28310-7301 | 2014-04-09 |
| 1508285362 | Womack Army Medical Center | Clinic/Center | Kendenburg St Bldg H-6338, Fort Bragg, NC 28310-0001 | 2014-04-09 |
| Street Address |
WOMACK ARMY MEDICAL CENTER 2817 REILLY RD FAMILY MEDICINE CLINIC |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381609 | Zakiya Baako Africa Dixon | Physician Assistant | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2008-10-16 |
| 1295393395 | Benjamin Canipe | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-06-03 |
| 1710443239 | Mila Verner | Social Worker | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-02-20 |
| 1346717212 | Bennett Lamonde Evans | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2018-10-30 |
| 1407349749 | Michael Joseph Yanoschik | General Practice | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-5001 | 2018-06-12 |
| 1558850651 | John Ryan Mcinerney | Registered Nurse | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310 | 2018-05-03 |
| 1922538685 | Natasha Gouey-guy | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2017-06-15 |
| 1679003149 | Alexandra Catherine Carney | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2017-06-15 |
| 1407212996 | Michelle Gonzalez | Psychologist | Womack Army Medical Center 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2016-01-13 |
| 1043507213 | Caitlyn Mae Rerucha | Family Medicine | Womack Army Medical Center 2817 Reilly Rd, Family Medicine Clinic, Fort Bragg, NC 28310-0001 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867293 | Womack Army Medical Center | Military Hospital | 2817 Reily Road, Fort Bragg, NC 28317 | 2015-12-10 |
| 1194246256 | Laura Orlando | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-06-29 |
| 1205293958 | Jennifer E Porter | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-01-26 |
| 1235594094 | Brittany A Lovett | Military Hospital | 2817 Reilly Road, Fort Bragg, NC 28310 | 2015-12-22 |
| 1144416439 | Jeremy Todd Smith | Military Hospital | Reilly Road, Fort Bragg, NC 28310-0001 | 2007-09-20 |
| 1457547143 | Amanda Hammonds | Military Hospital | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2007-09-17 |
| 1265590756 | Us Army- Womack Army Medical Center | Military Hospital | Womack Army Medical Ctr, Stop A, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-12-05 |
| 1891763009 | Dfas Attn: Dfasin/ Adamb | Military Hospital | Womack Army Medical Ctr, Bldg 4-2817 Riley Road, Fort Bragg, NC 28310-0001 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811194731 | Department of Veterans Affairs Medical Center | Military Hospital | 508 Fulton St # 117c, Va Medical Center Mrs. Demetri, Durham, NC 27705-3875 | 2007-07-03 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1508886516 | Detlev Erdmann | Military Hospital | Baker House Duke Rm 131, Duke Uuniversity Medical Center, Durham, NC 27710-0001 | 2006-07-20 |
| 1275198848 | Louis Perez | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-05-08 |
| 1376091611 | W.g. Bill Hefner Vamc | Military Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2016-09-15 |
| 1871977074 | Us Department of Veterans Affairs | Military Hospital | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2015-07-17 |
| 1699173211 | Annie Jayanth | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2014-12-12 |
| 1932451689 | Michelle Tomasa Roper | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2012-10-04 |
| 1134425747 | Serena M Leung | Military Hospital | 100 Brewster Blvd, Building 15, Camp Lejeune, NC 28547-2538 | 2011-01-28 |
| 1558674499 | Us Department of Veterans Affairs | Military Hospital | 736 Medical Center Dr, Suite 102, Wilmington, NC 28401-4170 | 2010-07-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.