MICHAEL S. WOMACK M.D. – NPI #1912950338
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

MICHAEL WOMACK is a physician located in BOISE, ID. NPPES has assigned the NPI number 1912950338 to MICHAEL WOMACK on May 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was last updated on Feb 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL WOMACK below.

NPI Profile for
MICHAEL S. WOMACK

NPI Number
1912950338
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL S. WOMACK
Credentials
M.D.
Primary location
341 E BANNOCK ST
BOISE, ID 83712-6208
Phone: (208) 453-9962 Fax: (208) 453-9963
1 Other location(s):
900 N Liberty St Ste 206
Boise, ID 83704-8729
Phone: (208) 453-9962
Fax: (208) 453-9963
Mailing address
2225 E SOLITUDE CT
BOISE, ID 83712-7576
Phone: (208) 453-9962 Fax: (208) 453-9963
Sole Proprietor
Yes
Updated
Certification Date
Feb 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
ID M-8136
174400000X
- Specialist
ID M-8136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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