Active NPI
Wound Specialists of Michigan, P.L.L.C.
- Surgery Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301060835
- Legal business name
- WOUND SPECIALISTS OF MICHIGAN, P.L.L.C.
- Practice address
- 2900 Golfside Dr
Suite 4
Ann Arbor, MI 48108-1410 - Phone
- (866) 645-5578
- Fax
- (888) 528-0919
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Bongiorno, MD
- Title
- Owner
- Phone
- (866) 645-5578
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301060835 | MI | Primary |
Addresses
Primary practice location
2900 Golfside Dr
Suite 4
Ann Arbor, MI 48108-1410
Mailing address
2900 Golfside Dr
Suite 4
Ann Arbor, MI 48108-1410
Phone (866) 645-5578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4281939 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
3830 Packard St
Ste 180
Ann Arbor, MI 48108
Phone (734) 354-8850
725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631
8548 N Canton Center Rd
Canton, MI 48187
Phone (734) 354-8850
366 West St
Cedar Springs, MI 49319
Phone (616) 696-9180
11218 Miller Dr
Galesburg, MI 49053
Phone (269) 665-9529
1480 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 651-4422
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Franklin, MI
- NPI 1003818022
-
- Adult Health Nurse Practitioner
- Ann Arbor, MI
- NPI 1043390529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1063592350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 GOLFSIDE DR",
"address_2": "SUITE 4",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081410",
"telephone_number": "866-645-5578",
"fax_number": "888-528-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 GOLFSIDE DR",
"address_2": "SUITE 4",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081410",
"telephone_number": "866-645-5578",
"fax_number": "888-528-0919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND SPECIALISTS OF MICHIGAN, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "BONGIORNO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-645-5578",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "4301060835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4281939",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.