# J RUSSELL WOMBLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOE RUSSELL WOMBLE MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538399845
- **Authorized official:** DR. JOE RUSSELL WOMBLE MD (OWNER)
- **Authorized official phone:** (405) 515-1000

## Contact information

- **Practice address:** 3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
- **Practice address phone:** (405) 515-1000
- **Mailing address:** 1515 TOWER DR, MOORE, OK 73160-6181
- **Mailing address phone:** (405) 310-0836
- **Mailing address fax:** (405) 758-5354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25035 | OK | Yes |
| 208M00000X | Hospitalist Physician | 25035 | OK | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 04/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043351661 | INDIVIDUAL NPI | OK |
| 01 | — | 11973917 | CAQH | — |
| 01 | — | 6134624 | CIGNA | OK |
| 01 | — | 9402354 | AETNA | OK |