Organization Active NPI

West Coast Wound Care, Inc

  • Specialist
  • Yonkers, NY
National Provider Identifier
1083935407
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WEST COAST WOUND CARE, INC
Practice address
976 McLean Ave
Suite 387
Yonkers, NY 10704-4105
Phone
(914) 237-6797
Fax
(914) 237-6790
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
Mr. Craig Bunker
Title
Director of Operations
Phone
(914) 237-6797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

976 McLean Ave
Suite 387
Yonkers, NY 10704-4105

Mailing address

976 McLean Ave
Suite 387
Yonkers, NY 10704-4105
Phone (914) 237-6797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1083935407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST WOUND CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "914-237-6797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.