DR. JOHN WESLEY WOMACK III (NPI# 1366579666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366579666 |
| Entity Type | Individual |
| Full Name | DR. JOHN WESLEY WOMACK III |
| Credential | M.D. |
| Practice Address |
35 International Dr Greenville SC 29615-4816 |
| Practice Telephone | 8642347654 |
| Practice Fax Number | 8646751657 |
| Mailing Telephone | 8642347654 |
| Mailing Fax Number | 8646751657 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 30619 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
30619 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | 8157 | 01 |
| SC | 306190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487693446 | John Thomas Womack Jr. | Optometrist | 806 Riverside Ave, Suite 100, Jacksonville, FL 32204-3337 | 2006-06-05 |
| 1598164394 | John Womack | Occupational Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2014-08-18 |
| 1053357541 | John J Womack | Hospitalist | 3600 E Harry St, Wichita, KS 67218-3713 | 2006-06-22 |
| Street Address |
35 INTERNATIONAL DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469684 | Thomas Baumgarten | Orthopaedic Surgery | 35 International Dr, Greenville, SC 29615-4816 | 2006-04-27 |
| 1578948881 | Angela C Rigdon | Physician Assistant | 35 International Dr, Greenville, SC 29615-4816 | 2015-07-28 |
| 1578972873 | Amanda Webster | Specialist/Technologist | 35 International Dr, Greenville, SC 29615-4816 | 2014-08-12 |
| 1508278243 | Michael Lee Sims | Orthopaedic Surgery | 35 International Dr, Greenville, SC 29615-4816 | 2014-05-29 |
| 1780028456 | Jaime Elyse Elliotte | Nurse Practitioner | 35 International Dr, Greenville, SC 29615-4816 | 2013-04-24 |
| 1770840928 | Fiesky Alejandro Nunez | Orthopaedic Surgery | 35 International Dr, Greenville, SC 29615 | 2012-04-12 |
| 1255644126 | Jack B Sizemore | Physician Assistant | 35 International Dr, Greenville, SC 29615-4816 | 2010-07-21 |
| 1720313893 | Amy B Roemmich | Physical Therapist | 35 International Dr, Greenville, SC 29615-4816 | 2009-10-07 |
| 1689802225 | Dylan Jerome Watson | Orthopaedic Surgery | 35 International Dr, Greenville, SC 29615-4816 | 2009-06-22 |
| 1114133899 | Heather Carden | Physical Therapist | 35 International Dr, Greenville, SC 29615-4816 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988260 | Joseph Thomas Anderson | Orthopaedic Surgery | 200 Patewood Dr, Suite C100, Greenville, SC 29615-3593 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1174045124 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 2 Medical Park Rd Ste L9l10, Columbia, SC 29203-6808 | 2017-07-12 |
| 1588905244 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 319 Folly Rd, Charleston, SC 29412 | 2013-03-06 |
| 1427392281 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2012-11-19 |
| 1912046715 | Alexander James Pappas | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2007-02-06 |
| 1639240021 | Ross N Taylor | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-10 |
| 1679596548 | Orthopaedic Specialists of Charleston | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr, Ste 200, Charleston, SC 29414 | 2006-07-25 |
| 1740238773 | Strand Orthopaedic Consultants, LLC | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-05-04 |
| 1841291598 | William C James IIi | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-08-03 |
| City | GREENVILLE |
| Zip Code | 29615 |
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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.