DR. ELIZABETH W. FOMBY


Address: 1402 W Avenue H, Temple, TX 76504-5342
Phone: 2547718411

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine L2252 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 1457848-01 05
TX RR/MEDICARE 060065019 01
TX BLUE SHIELD 8B4706 01

Office Location

Street Address 1402 W AVENUE H
City TEMPLE
State TX
Zip Code 76504-5342

Providers in the same location

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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Providers in the same zip code

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
Find all providers in zip 76504

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in TEMPLE

Competitor

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City TEMPLE
Zip Code 76504

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Dataset Information

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.

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