GLENN R WOMACK MD PSC (NPI# 1912160698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912160698 |
| Entity Type | Organization |
| Organization Name | GLENN R WOMACK MD PSC |
| Other Organization Name | BUFFALO TRACE FAMILY HEALTH CARE |
| Practice Address |
732 Elizaville Road Flemingsburg KY 41041 |
| Mailing Address |
732 Elizaville Road Po Box 344 Flemingsburg KY 41041 |
| Practice Telephone | 6068492323 |
| Practice Fax Number | 6068492025 |
| Mailing Telephone | 6068492323 |
| Mailing Fax Number | 6068492025 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. GLENN R WOMACK (PRESIDENT) |
| Authorized Official Telephone | 6068492323 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Buffalo Trace Family Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003079781 | Glenn R Womack Md Psc | Nurse Practitioner | 732 Elizaville Rd, Flemingsburg, KY 41041 | 2008-07-03 |
| 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 |
| 1710141585 | Glenn R. Womack M.d. Psc | Clinic/Center | 732 Elizaville Road, Flemingsburg, KY 41041 | 2008-07-11 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895234 | Roger K Owens | Physician Assistant | 169 Medical Park Drive, Flemingsburg, KY 41041 | 2006-03-14 |
| 1316347701 | Victoria Wright | Physician Assistant | 732 Elizaville Ave, Flemingsburg, KY 41041-1139 | 2014-09-04 |
| 1699083097 | Fleming Emergency Group LLC | Physician Assistant | 55 Foundation Dr, Flemingsburg, KY 41041-9815 | 2010-09-20 |
| 1043205958 | Donald Jon Johnson | Physician Assistant | 732 Elizaville Ave, Flemingsburg, KY 41041-1139 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
| 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.