Mary Francis Wommer, R.T. (R)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

106230 Issued in SD

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Phone

(605) 742-3775

Fax

(605) 698-3607

NPI assigned

Jun 2, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1760640171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "address_2": "PO BOX 189",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3775",
            "fax_number": "605-698-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3775",
            "fax_number": "605-698-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMMER",
        "first_name": "MARY",
        "middle_name": "FRANCIS",
        "name_prefix": "Ms.",
        "credential": "R.T. (R)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "SD",
            "license": "106230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430085",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT)",
            "identifier": "106230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• US Dept of Health & Human Services
• Jodie Webb, FNP-BC
• Leah Adele Weiss, PHARMD
• Dana Marie Wilson, RN
• Elijah John Wolfe, RT
• Woodrow Wilson Keeble Memorial Health Care Center
• Shobi Zetina
• John Thomas Zimmer, DDS

• Radiography Radiologic Technologist in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Radiography Radiologic Technologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.