MRS. SHERRY LYNN WOMACK (NPI# 1235171869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235171869 |
| Entity Type | Individual |
| Full Name | MRS. SHERRY LYNN WOMACK |
| Credential | PA-C |
| Practice Address |
M4861 Logistics Ave Fort Bragg NC 28310-0001 |
| Mailing Address |
1615 Boone Trail Rd Sanford NC 27330-9200 |
| Practice Telephone | 9109079209 |
| Mailing Telephone | 9197700351 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01904 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
M4861 LOGISTICS AVE |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316375421 | Stephen Witte | Physician Assistant | Gruber Rd Bldg C-1722, Fort Bragg, NC 28310-0001 | 2013-10-29 |
| 1619253523 | Kurt Kresta | Physician Assistant | 2817 Rielly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-10-25 |
| 1265740674 | Roger Leon Harrison | Physician Assistant | 2817 Reilly Road Mxcx-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2010-09-20 |
| 1255651063 | Pamela R Koehler | Physician Assistant | 721a River Dr, Fort Bragg, CA 95437-5402 | 2010-06-03 |
| 1598891517 | Jeffrey Alan Weiss | Physician Assistant | Womack Army Hospital, Fort Bragg, NC 28304-0000 | 2007-02-26 |
| 1942386107 | Maureen Marnell Sevilla | Physician Assistant | Joel Health Clinic Src, Womack Army Medcen, Fort Bragg, NC 28310-0001 | 2006-10-31 |
| 1679660518 | Kane D Morgan | Physician Assistant | Reilly Rd Bldg 4-2817, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-10-10 |
| 1609983360 | Wilda Ann Mccain | Physician Assistant | Womack Army Medical Center Physical Exams, Reilly Rd, Fort Bragg, NC 28310-0001 | 2006-08-25 |
| 1588625461 | Michael Douglas Newman | Physician Assistant | Clark Health Clinic, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-03-30 |
| 1760443071 | David W. Myers | Physician Assistant | Bldg 5-4257 Bastogne Street Extension, Fort Bragg, NC 28310-0001 | 2006-03-29 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on MRS. SHERRY LYNN WOMACK.
| 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.