NPIMap

Organization Active NPI

Mobile Wound Consultants II Inc.

  • Surgical Critical Care Physician
  • Media, PA
National Provider Identifier
1083994149
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
MOBILE WOUND CONSULTANTS II INC.
Practice address
123 Powderhorn LN
Media, PA 19063-4520
Phone
(484) 686-5409
Fax
(610) 616-4276
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Theresa B Brady, CRNPNPI 1871515684
Title
President
Phone
(484) 686-5409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X Primary

Addresses

Primary practice location

123 Powderhorn LN
Media, PA 19063-4520

Mailing address

123 Powderhorn LN
Media, PA 19063-4520
Phone (484) 686-5409

National Provider Directory

National Provider Directory

Locations

613 Macdade Blvd
Milmont Park, PA 19033

Practitioners & affiliated clinicians

Practitioners 9

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1083994149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 POWDERHORN LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634520",
            "telephone_number": "484-686-5409",
            "fax_number": "610-616-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 POWDERHORN LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634520",
            "telephone_number": "484-686-5409",
            "fax_number": "610-616-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND CONSULTANTS II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-686-5409",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.