GLENN R. WOMACK M.D. PSC (NPI# 1710141585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710141585 |
| Entity Type | Organization |
| Organization Name | GLENN R. WOMACK M.D. PSC |
| Other Organization Name | BUFFALO TRACE FAMILY HEALTH CARE |
| Practice Address |
732 Elizaville Road Flemingsburg KY 41041 |
| Mailing Address |
Po Box 344 Flemingsburg KY 41041-0344 |
| Practice Telephone | 6068492323 |
| Practice Fax Number | 6068492025 |
| Mailing Telephone | 6068492323 |
| Mailing Fax Number | 6068492025 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DR. GLENN R WOMACK (PRESIDENT) |
| Authorized Official Telephone | 6068492323 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 15952 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Buffalo Trace Family Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432153 | Glenn R. Womack M.d. Psc | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2006-07-03 |
| Street Address |
732 ELIZAVILLE ROAD |
| City | FLEMINGSBURG |
| State | KY |
| Zip Code | 41041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432153 | Glenn R. Womack M.d. Psc | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2006-07-03 |
| 1295964468 | John L Doyle IIi | Family Medicine | 732 Elizaville Road, Flemingsburg, KY 41041 | 2009-07-09 |
| 1912160698 | Glenn R Womack Md Psc | Physician Assistant | 732 Elizaville Road, Flemingsburg, KY 41041 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769304 | J&c Investments Inc | Durable Medical Equipment & Medical Supplies | 116 Clark St, Flemingsburg, KY 41041 | 2017-09-11 |
| 1922489426 | Amy Leonard Monday | Physical Therapist | 65 Bluebank Lane, Flemingsburg, KY 41041 | 2015-06-11 |
| 1821227034 | Kimberly J Myers | Nutritionist | 194 Windsor Dr., Flemingsburg, KY 41041 | 2009-07-09 |
| 1003079781 | Glenn R Womack Md Psc | Nurse Practitioner | 732 Elizaville Rd, Flemingsburg, KY 41041 | 2008-07-03 |
| 1477748473 | Casey Sue Mason | Counselor | 15521 Ky 57, Flemingsburg, KY 41041 | 2007-09-12 |
| 1538280078 | Fleming Regional Medical Imaging, Pllc | Clinic/Center | 730 Elizaville Rd, Flemingsburg, KY 41041 | 2007-04-03 |
| 1881726347 | Fleming Medical Center LLC | Clinic/Center | 55 Foundation Drive, Flemingsburg, KY 41041 | 2007-03-11 |
| 1194850065 | Jill S. Price | Dentist | 46 Ashbrook Drive, Flemingsburg, KY 41041 | 2007-02-22 |
| 1104895234 | Roger K Owens | Physician Assistant | 169 Medical Park Drive, Flemingsburg, KY 41041 | 2006-03-14 |
| 1578562898 | Fleming County Ambulance District | Ambulance | 2343 Ky Hwy 11, Flemingsburg, KY 41041 | 2005-07-19 |
| Find all providers in zip 41041 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | FLEMINGSBURG |
| Zip Code | 41041 |
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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.