DR. ELIZABETH W. FOMBY (NPI# 1306805783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306805783 |
Entity Type | Individual |
Full Name | DR. ELIZABETH W. FOMBY |
Credential | M.D. |
Practice Address |
1402 W Avenue H Temple TX 76504-5342 |
Mailing Address |
Po Box 847408 Dallas TX 75284-7408 |
Practice Telephone | 2547718411 |
Mailing Telephone | 2547242111 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2013-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | L2252 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1457848-01 | 05 | |
TX | RR/MEDICARE | 060065019 | 01 |
TX | BLUE SHIELD | 8B4706 | 01 |
Street Address |
1402 W AVENUE H |
City | TEMPLE |
State | TX |
Zip Code | 76504-5342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508396011 | Tuyet Pham | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2017-06-16 |
1487181129 | Michael Harrison Janes | Student in an Organized Health Care Education/Training Program | 1402 W Avenue H, Temple, TX 76504-5342 | 2017-05-12 |
1184150138 | Mitchell Wong | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2017-05-11 |
1760868830 | John Michael Betik | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2015-07-30 |
1770928368 | Abigail Ironside | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2013-05-08 |
1770928145 | David Ryan Willingham | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2013-04-30 |
1124461686 | Tove Goldson | Family Medicine | 1402 W Avenue H, Temple, TX 76504-5342 | 2013-04-15 |
1346587185 | Sarah Pierce Campbell | Physician Assistant | 1402 W Avenue H, Temple, TX 76504-5342 | 2013-01-14 |
1609133347 | Jessica Langsjoen | Obstetrics & Gynecology | 1402 W Avenue H, Temple, TX 76504-5342 | 2012-04-19 |
1740571959 | Samuel Asher Gorman | Physician Assistant | 1402 W Avenue H, Temple, TX 76504-5342 | 2011-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
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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 |
---|---|---|---|---|
1033566286 | Walk-in Clinic, LLC | Family Medicine | 1516 S 31st St, Suite B, Temple, TX 76504-6752 | 2016-05-18 |
1467815340 | Robert C Cortes | Family Medicine | 108 Tiger Cir, Temple, TX 76502-9219 | 2016-03-30 |
1306234521 | Heart of Texas Community Health Center, Inc. | Family Medicine | 600 S 25th St Ste 115, Temple, TX 76504-5227 | 2014-12-23 |
1215278882 | Manna Medical & Counseling | Family Medicine | 305 Carrollton Highway, Temple, GA 30178 | 2013-03-07 |
1619045499 | Bertram Vonzabern | Family Medicine | 311 Colburn Rd, Temple, NH 03084 | 2006-12-01 |
1588769871 | Alfredo Augusto Cisneros Sr. | Family Medicine | 1901 S 1st St (memorial Dr.), N/a, Temple, TX 76504 | 2006-09-13 |
1295795961 | Jennifer K. Flory | Family Medicine | 7556 Honeysuckle, Temple, TX 76502-5631 | 2006-03-25 |
1205807120 | Esther Sun Lao | Family Medicine | 2420 Kingsbury Dr, Temple, TX 76502-7321 | 2006-01-30 |
1245226547 | Roger W. Kylberg | Family Medicine | 409 W Adams Ave, Temple, TX 76501-4211 | 2005-09-22 |
1417959925 | Ryan Curt Fowler | Family Medicine | 2027 S 61st St Ste 109, Temple, TX 76504-6856 | 2005-08-15 |
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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.