DR. WILLIAM BRIAN WOMACK (NPI# 1679678205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679678205 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRIAN WOMACK |
| Credential | D.O. |
| Practice Address |
1611 Joy Ln Fort Mohave AZ 86426-8807 |
| Mailing Address |
P.0. Box 9479 Fort Mohave AZ 86426 |
| Practice Telephone | 9287689496 |
| Mailing Telephone | 9287689496 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3527 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | 71873 | 01 |
| AZ | 518144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144540113 | William Dewayne Womack | Marriage & Family Therapist | 674 Burtis St, Santa Barbara, CA 93111-2708 | 2010-06-01 |
| 1972564326 | William Randol Womack | Dentist | 7505 W Deer Valley Rd, Suite 120, Peoria, AZ 85382-2107 | 2006-03-28 |
| 1396716874 | William R Womack | Family Medicine | 1525 N Granite Reef Rd, Ste 7, Scottsdale, AZ 85257-3998 | 2006-01-31 |
| 1487170767 | William Oliver Womack | Counselor | 1000 Atcheson St, Columbus, OH 43203-1353 | 2017-08-17 |
| 1184705444 | William Womack | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1528012291 | William A. Womack | Anesthesiology | 750 Morphy Ave, Fairhope, AL 36532-1812 | 2006-05-19 |
| 1205889383 | William L Womack Jr. | Emergency Medicine | 404 N Keene St, Columbia, MO 65201-6626 | 2006-05-18 |
| Street Address |
1611 JOY LN |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639126063 | Lisa Jane Carpenter | Physician Assistant | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2006-05-30 |
| 1417173840 | Richard E Hendrix, Md Inc | Family Medicine | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2007-04-17 |
| 1407977432 | Richard E Hendrix | Family Medicine | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| 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 |
|---|---|---|---|---|
| 1043369168 | Mohave Family Healthcare | Family Medicine | 1611 E Joy Ln, Fort Mohave, AZ 86426-8807 | 2007-01-09 |
| 1831263300 | Kenneth Robert Stephan | Family Medicine | 5593 Hwy 95, Suite 3, Fort Mohave, AZ 86426-6081 | 2006-11-17 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1639517915 | Valley View Physician Practices, LLC | Family Medicine | 5300 Hwy 95, Suite I, Fort Mohave, AZ 86426-9251 | 2013-06-10 |
| 1164731030 | Grapevine Clinic LLC | Family Medicine | 5300 S Highway 95, Suite H, Fort Mohave, AZ 86426-9251 | 2010-09-27 |
| 1447435417 | Kaye A Cunningham | Family Medicine | 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426-6068 | 2008-01-08 |
| 1417173840 | Richard E Hendrix, Md Inc | Family Medicine | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2007-04-17 |
| 1407977432 | Richard E Hendrix | Family Medicine | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2007-04-03 |
| 1760524573 | Shakeel Aziz Kahn | Family Medicine | 5225 S Highway 95, Suite 5, Fort Mohave, AZ 86426-9111 | 2007-02-12 |
| 1912931486 | Gerald C West | Family Medicine | 5300 S Highway 95, Suite D, Fort Mohave, AZ 86426-9251 | 2006-07-10 |
| Find all providers in FORT MOHAVE | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
Please comment or provide details below to improve the information on DR. WILLIAM BRIAN 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.