MR. BILL G WOMACK JR. (NPI# 1255543633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255543633 |
| Entity Type | Individual |
| Full Name | MR. BILL G WOMACK JR. |
| Credential | OCCUPATIONAL THERAPY |
| Practice Address |
3009 Hillridge Cv Jonesboro AR 72401-5937 |
| Practice Telephone | 8709330503 |
| Practice Fax Number | 8709330503 |
| Mailing Telephone | 8709330503 |
| Mailing Fax Number | 8709330503 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | OTR365 | AR | Other Service Providers |
| Street Address |
3009 HILLRIDGE CV |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350362 | Xatanya Amos | Contractor | 701 Battlecreek Village Dr, Jonesboro, GA 30236-8517 | 2018-09-19 |
| 1811499767 | Debbie Lashal Cobb | Contractor | 571 Washington Dr, Jonesboro, GA 30238-8515 | 2018-03-07 |
| 1851808885 | Ebony Jones Stuckey | Contractor | 245 Commons Dr, Jonesboro, GA 30236-7982 | 2017-12-29 |
| 1699219006 | Sherry Tolbert | Contractor | 7986 N Main St, Jonesboro, GA 30236-2272 | 2016-12-05 |
| 1376934091 | Jamar Kinte Tyler | Contractor | 124 N Mcdonough St Ste 206, Jonesboro, GA 30236-3675 | 2015-02-17 |
| 1316940844 | Linda Sue Holmes | Contractor | 1823 Grant Ave, Ste A, Jonesboro, AR 72401-6148 | 2005-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581093 | Cassandra Y Rosser | Contractor | 8404 Russwood Ln W, Mabelvale, AR 72103-4283 | 2019-11-05 |
| 1871035832 | Deborah Palmer | Contractor | 114 Westfork St., Alma, AR 72921 | 2016-11-08 |
| 1568818672 | Jayvian Johnson | Contractor | 2116 E 11th St, Little Rock, AR 72202-4320 | 2016-05-06 |
| 1295196574 | Healthscope Benefits | Contractor | 27 Corporate Hill Dr, Little Rock, AR 72205-4537 | 2016-03-14 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1598141525 | Shawn Wilson | Contractor | 880 W Eden Cir, Fayetteville, AR 72701-6931 | 2015-07-31 |
| 1679979215 | Johnny Mitchell | Contractor | 162 Shadow Oak Lane, Flippin, AR 72634 | 2014-11-10 |
| 1174927628 | Cindy A Phelan | Contractor | 8434 Phoenix Ave, Suiteg, Fort Smith, AR 72903-6143 | 2014-10-13 |
| 1093132409 | Renee Nicole Farag | Contractor | 171 Cow Lane, Junction City, AR 71749 | 2014-03-24 |
| 1639516545 | Harry Bassett | Contractor | 16 Marchwood Cv, Little Rock, AR 72210-3704 | 2013-05-31 |
| 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.