Active NPI
Catherine Moore Womack, MD
- Internal Medicine Physician
- Fort Smith, AR
National Provider Identifier
1174740575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-1930
- Practice address
- 616 S 17TH St
Fort Smith, AR 72901-4700 - Phone
- (479) 434-3333
- Fax
- (479) 434-3535
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-1930 | AR | Primary |
Addresses
Primary practice location
616 S 17TH St
Fort Smith, AR 72901-4700
Mailing address
616 S 17TH St
Fort Smith, AR 72901-4700
Phone (479) 434-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1930 | AR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1174740575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 S 17TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014700",
"telephone_number": "479-434-3333",
"fax_number": "479-434-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S 17TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014700",
"telephone_number": "479-434-3333",
"fax_number": "479-434-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "CATHERINE",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-1930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.