NPIMap

Organization Active NPI

Charles E Womack MD a Professional Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1487638979
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10243 Issued in OK
Legal business name
CHARLES E WOMACK MD A PROFESSIONAL CORPORATION
Practice address
5252 N Meridian Ave
Suite 105
Oklahoma City, OK 73112-2178
Phone
(405) 946-3373
Fax
(405) 947-1177
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. Charles Erwin Womack, M.D.NPI 1205810702
Title
Owner/President
Phone
(405) 946-3373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10243 OK Primary

Addresses

Primary practice location

5252 N Meridian Ave
Suite 105
Oklahoma City, OK 73112-2178

Mailing address

5252 N Meridian Ave
Suite 105
Oklahoma City, OK 73112-2178
Phone (405) 946-3373

National Provider Directory

National Provider Directory

Locations

5252 N Meridian Ave
Ste 105
Oklahoma City, OK 73112
Phone (405) 601-3330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1487638979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N MERIDIAN AVE",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122178",
            "telephone_number": "405-946-3373",
            "fax_number": "405-947-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 N MERIDIAN AVE",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122178",
            "telephone_number": "405-946-3373",
            "fax_number": "405-947-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E WOMACK MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-946-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.