Active NPI
Womick Podiatry Clinic P C
- Podiatrist
- Newport News, VA
National Provider Identifier
1346372497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103001012
- Legal business name
- WOMICK PODIATRY CLINIC P C
- Practice address
- 704 Thimble Shoals Blvd
Ste 300B
Newport News, VA 23606-4554 - Phone
- (757) 595-7634
- Fax
- (757) 595-7635
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debra A. Womick Lee, D.P.M.
- Title
- Doctor
- Phone
- (757) 595-7634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103001012 | VA | Primary |
Addresses
Primary practice location
704 Thimble Shoals Blvd
Ste 300B
Newport News, VA 23606-4554
Mailing address
704 Thimble Shoals Blvd
Ste 300B
Newport News, VA 23606-4554
Phone (757) 595-7634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9303812 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
704 Thimble Shoals Blvd
Ste 300B
Newport News, VA 23606
Phone (757) 595-7634
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Newport News, VA
- NPI 1639196629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363910400000",
"number": "1346372497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 THIMBLE SHOALS BLVD",
"address_2": "STE 300B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064554",
"telephone_number": "757-595-7634",
"fax_number": "757-595-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 THIMBLE SHOALS BLVD",
"address_2": "STE 300B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064554",
"telephone_number": "757-595-7634",
"fax_number": "757-595-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMICK PODIATRY CLINIC P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2013-03-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "A. WOMICK",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "757-595-7634",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "VA",
"license": "0103001012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9303812",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.