The Wound Care Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE WOUND CARE CENTER

Practice address

1850 Chadwick Dr
Jackson, MS 39204-3404

Phone

(601) 376-2561

Fax

(601) 376-2570

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Sinclair

Title

Regional Manager

Phone

(601) 936-3113

Specialties & licenses 1

Addresses

Tax ID family

Jackson Hma Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Central Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033222922
  NPD tax ID
• Central Ms Med Ekg

  dba Central Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1346450749
  NPD tax ID
• Jackson Hma LLC

  dba Merit Health Central

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  NPD tax ID
• Jackson Hma LLC

  dba Merit Health Central

  • Clinical Medical Laboratory
  • Jackson, MS
  • NPI 1194345991
  NPD tax ID

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1013189620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2561",
            "fax_number": "601-376-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2561",
            "fax_number": "601-376-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOUND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "601-936-3113"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Surgical Clinic Associates, P.a.
• The University of Mississippi Medical Center
• The Wellness Connection, LLC (The Wellness Connection)
• The Womans Clinic of Ms PLLC
• The Wound & Podiatry Center
• Thee Body Bar, LLC
• Theia Behavioral Health
• Theodore C. Jones
• Theramed, Inc.
• Therapy First Outpatient Rehabilitation LLC

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.