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WOMACK PRIMARY MEDICAL CARE PLLC NPI 1902903800


NPI Information

NPI: 1902903800
Provider Name: WOMACK PRIMARY MEDICAL CARE, PLLC

Doing Business As: WOMACK INTERNAL MEDICINE, PLLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
400 MONTAUK HWY
STE 111
WEST ISLIP, NY
ZIP 11795
Phone: (631) 277-0051
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WOMACK PRIMARY MEDICAL CARE, PLLC is an internal medicine in West Islip, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WOMACK PRIMARY MEDICAL CARE, PLLC NPI is 1902903800. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womack Internal Medicine, Pllc.

The provider's business location address is:

400 MONTAUK HWY
STE 111
WEST ISLIP, NY
ZIP 11795-429
Phone: (631) 277-0051
Fax: (631) 277-2690

The provider's authorized official is Lawrence H Womack .
The authorized official title is Chief Medical Officer and has the following contact phone number (631) 277-0051.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 1/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine223075NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H55491MEDICARE UPINNEW YORK
202214588MEDICAIDNEW YORK
3P00165433OTHERNEW YORKRAILROAD MEDICARE
4P2912790OTHERNEW YORKOXFORD HEALTH PLAN
572S821MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE PROVIDER #
6=========OTHERNEW YORKUNITED HEALTHCARE
7153114OTHERNEW YORKVYTRA HEALTHCARE
83298766OTHERNEW YORKAETNA/US HEALTHCARE
9WMW011MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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