Individual provider Active NPI

Christopher Womac, DPM

  • Podiatrist
  • Tumwater, WA
National Provider Identifier
1063087682
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO61688610 Issued in WA
Practice address
1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303
Phone
(360) 754-3338
NPI assigned
May 25, 2021
Reactivated
Apr 22, 2022
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO61688610 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO61688610 WA

Addresses

Primary practice location

1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303

Mailing address

1610 Bishop Rd SW BLDG 7
Tumwater, WA 98512-7303
Phone (360) 754-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807002686 WA Practitioner - Podiatry 5991183246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fasa Family Wellness PLLCGroup PAC ID 7618290297, 16 clinicians

Practice addresses (Care Compare)

1610 Bishop Rd SW
Suite 7
Tumwater, WA 98512-7303
Phone (360) 754-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions1-10
Removal of nail tissue353
Removal or shaving of skin growth109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61688610WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasa Family Wellness, PLLC Current Accepting new patients
Fasa Family Wellness, PLLC Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Fasa Family Wellness PLLC Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Gene Caicco,D.P.M., PLC Podiatrist PastSince Apr 1, 2022 Accepting new patients

Locations

5210 Corporate Center Ct SE
Ste A
Lacey, WA 98503
Phone (360) 754-3338

1610 Bishop Rd SW
Bldg 7
Tumwater, WA 98512
Phone (314) 323-2727

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

Interoperability endpoints

  • Direct secure messaging: cwomac@usfas.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1063087682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW BLDG 7",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW BLDG 7",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMAC",
        "first_name": "CHRISTOPHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "deactivation_date": "2022-04-01",
        "reactivation_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO61688610",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61688610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.