Jordan Allen Womack (NPI# 1205221017, PAC ID# 9032429725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205221017 |
| PAC ID by PECOS | 9032429725 |
| Professional Enrollment ID | I20180706000120 |
| Full Name | Jordan Allen Womack |
| Organization Legal Name | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| Address |
4214 Andrews Hwy 305 Midland TX 79703-4811 |
| Phone Number | 4326141799 |
| Gender | M |
| Medical School | COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2860544749 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| 450132 | MEDICAL CENTER HOSPITAL |
| 450661 | ODESSA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4214 Andrews Hwy 305, Midland, TX 79703-4811 | 4326141799 | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| 420 E 6th St, Suite 104, Odessa, TX 79761-4537 | 4326141799 | INTERVENTIONAL PARTNERS LLC |
| Organization Legal Name | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Michael Cruz | Podiatry | Podiatric Medical Partners of Texas, Pa | 3229 W 7th Ave, Corsicana, TX 75110-4817 |
| Neha Singh | Podiatry | Podiatric Medical Partners of Texas, Pa | 1105 N Central Expressway, Suite 2300, Allen, TX 75013-6119 |
| Justin L Brown | Podiatry | Podiatric Medical Partners of Texas, Pa | 4214 Andrews Hwy 305, Midland, TX 79703-4811 |
| William C Arrington Ii | Podiatry | Podiatric Medical Partners of Texas, Pa | 124 E Us Hwy 80 104, Forney Foot and Ankle Specialist, Forney, TX 75126-8607 |
| Jacquelyn Perry | Podiatry | Podiatric Medical Partners of Texas, Pa | 3020 Race St, Fort Worth, TX 76111-4116 |
| Gene G Reister | Podiatry | Podiatric Medical Partners of Texas, Pa | 2001 N Collins, Suite 103, Richardson, TX 75214-2681 |
| Richard C Galperin | Podiatry | Podiatric Medical Partners of Texas, Pa | 801 N Zang Blvd, Suite 103, Dallas, TX 75208-4858 |
| Paul Kinberg | Podiatry | Podiatric Medical Partners of Texas, Pa | 1151 N Buckner Bvld, 304 Complete Foot and Ankle, Dallas, TX 75218-3405 |
| Jonathan M Kletz | Podiatry | Podiatric Medical Partners of Texas, Pa | 166 Heritage Pkwy, Gun Barrel City, TX 75156-3712 |
| Samuel Nava | Podiatry | Podiatric Medical Partners of Texas, Pa | 4333 N Josey Ln, Suite 102, Carrollton, TX 75010-4620 |
| Street Address |
4214 ANDREWS HWY 305 |
| City | MIDLAND |
| State | TX |
| Zip | 79703-4811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Brown | Podiatry | Podiatric Medical Partners of Texas, Pa | 4214 Andrews Hwy 305, Midland, TX 79703-4811 |
| Joseph Morgan | Podiatry | Podiatric Medical Partners of Texas, Pa | 4214 Andrews Hwy 305, Midland, TX 79703-4811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Dean Elliott | Obstetrics/gynecology | Permian Premier Health Services Inc | 4911 Andrews Hwy A, Midland, TX 79703-4507 |
| Tm Hughes Iii | Urology | Permian Premier Health Services Inc | 4911 Andrews Hwy, Midland, TX 79703-4507 |
| Varadareddy T Reddy | Diagnostic Radiology | 5001 Andrews Hwy, Midland, TX 79703-4522 | |
| Harshad G Shah | Ophthalmology | 4214 Andrews Hwy, Suite 105, Midland, TX 79703-4813 | |
| Randolph T Leone | Diagnostic Radiology | Southwest Medical Imaging Pa | 4214 Andrews Hwy, Suite 103, Midland, TX 79703-4815 |
| Thomas J Cornell | Diagnostic Radiology | Southwest Medical Imaging Pa | 4214 Andrews Hwy, Suite 103, Midland, TX 79703-4815 |
| Katherine S Brawner | Physician Assistant | Premier Family Care I, Inc | 4214 Andrews Hwy, Suite 240, Midland, TX 79703-4817 |
| Michael J Cipriani | Nurse Practitioner | Premier Family Care I, Inc | 4214 Andrews Hwy, Suite 240, Midland, TX 79703-4817 |
| Michael J Hester | Nurse Practitioner | Premier Family Care I, Inc | 4214 Andrews Hwy, Suite 240, Midland, TX 79703-4817 |
| Samuel L Baumguardner | Physician Assistant | Premier Family Care I, Inc | 4214 Andrews Hwy, Suite 240, Midland, TX 79703-4817 |
| Find all physicians in zip 79703 | |||
| City | MIDLAND |
| Zip Code | 79703 |
| Specialty | PODIATRY |
| City + Specialty | MIDLAND + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.