Jordan Womack, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD.0000908 Issued in CO

Practice address

270 E 8TH Ave
Suite N102
Durango, CO 81301-5708

Phone

(970) 903-9853

Fax

(970) 616-6745

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

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 2

Specialty

Podiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor G Wright PCGroup PAC ID 8426362450, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Innovation Medical Group PC

  dba Innovation Medical Group

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1235526682

  CO, Foot & Ankle Surgery, NM

  Medicare reassignment Care Compare group NPD

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

• Catholic Health Initiatives Colorado

  dba Mercy Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba MMC DUC Diagnostic Imaging

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Mercy Imaging Center

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation
• San Juan Regional Medical Center Inc

  dba SJRMC Inpatient Rehab Unit

  • Rehabilitation Hospital Unit
  • Farmington, NM
  • NPI 1326663592
  Care Compare affiliation
• San Juan Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Farmington, NM
  • NPI 1427058510
  Care Compare affiliation

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1205221017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216977",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE",
            "address_2": "SUITE N102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-903-9853",
            "fax_number": "970-616-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 N Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874010826",
            "country_code": "US",
            "telephone_number": "505-324-6300",
            "fax_number": "505-327-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 E Historic Highway66",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873014883",
            "country_code": "US",
            "telephone_number": "505-324-6300",
            "fax_number": "505-327-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 N Dolores Road",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813218924",
            "country_code": "US",
            "telephone_number": "970-564-8086",
            "fax_number": "970-564-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "JORDAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD.468",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002564",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joan Wolfe
• Douglas Wolfe, DC
• Hillary Wolfe, MSW
• Erin Wolff, DPT
• Janet Leigh Wolvin, NP
• Wood Chiropratic Inc.
• Christopher A Wood, D.C.
• Sheri Annette Woodard, PHARMD
• Hanna Liv Workman, RN
• Sherri Lynne Wormser, RPT

• Foot & Ankle Surgery Podiatrist in Durango, CO
• Providers in Durango, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.