Thomas M. Wormuth, M.D. LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

049262 Issued in GA

Legal business name

THOMAS M. WORMUTH, M.D. LLC

Practice address

1635 Highway 34 E
Suite a
Newnan, GA 30265-2173

Phone

(770) 254-9007

Fax

(770) 254-8445

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Thomas M Wormuth, M.D.

Title

OBGYN

Phone

(770) 254-9007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285687285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 34 E",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652173",
            "telephone_number": "770-254-9007",
            "fax_number": "770-254-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 34 E",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652173",
            "telephone_number": "770-254-9007",
            "fax_number": "770-254-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. WORMUTH, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WORMUTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OBGYN",
        "authorized_official_telephone_number": "770-254-9007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "049262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.