Organization Active NPI

Ameriwound Physicians PA LLC

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1043679855
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AMERIWOUND PHYSICIANS PA LLC
Practice address
4401 Haverford Ave
Philadelphia, PA 19104-1332
Phone
(215) 349-8800
Fax
(216) 273-9998
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Samson Fixler
Title
Assistant Secretary
Phone
(216) 273-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4401 Haverford Ave
Philadelphia, PA 19104-1332

Mailing address

6150 Parkland Blvd Ste 225
Mayfield Heights, OH 44124-4103
Phone (216) 273-9800

National Provider Directory

National Provider Directory

Locations

1800 Lombard St
Philadelphia, PA 19146
Phone (215) 545-4173

2159 White St
Ste 3242
York, PA 17404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1043679855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 PARKLAND BLVD STE 225",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244103",
            "telephone_number": "216-273-9800",
            "fax_number": "216-273-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041332",
            "telephone_number": "215-349-8800",
            "fax_number": "216-273-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIWOUND PHYSICIANS PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "FIXLER",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "216-273-9800"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.