Evan Alexander Womeldorf, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0000750 Issued in MD

Practice address

2 College HL
Westminster, MD 21157-4303

Phone

(410) 848-7000

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1346613106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 RITCHIE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212191223",
            "telephone_number": "410-477-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLLEGE HL",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211574303",
            "telephone_number": "410-848-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMELDORF",
        "first_name": "EVAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Winn, PHARM.D.
• Christine Wittle
• Jennifer Wodajo, CRNP
• Shirley Ann Wolf, LCSW-C
• Samantha N Wolfe, LCSW-C
• Donald L Wong, PA
• Christine Woodcock
• Julian Woods, DDS
• Elizabeth Anne Wright, OT
• Courtney Leigh Wunderlich

• Athletic Trainer in Westminster, MD
• Providers in Westminster, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.