Woundynamics LLC
Organization Active NPI Family Medicine Physician · Oklahoma City, OK
NPI 1114535333 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1114535333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WOUNDYNAMICS LLC
- Practice address
- 1601 SW 89TH St Ste A100
Oklahoma City, OK 73159-6357 - Phone
- (206) 465-4313
- NPI assigned
- Jul 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Danh Pham, DO
- Title
- DO
- Phone
- (405) 225-1122
Practitioners 11
-
Ashley Dawn Amaireh, FNP
-
Jennifer A Hard, APRN-CNP
-
Brittanie Paden, APRN-CNP
-
Danh Pham, D.O.
-
Savannah Lyn Winfield, APRN-CNP
-
Ofelia Marin, APRN, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200728000660 | OK | Part B Supplier - Clinic/Group Practice | 7719301449 |
Receives reassigned benefits from 11 practitioners Practice locations: Oklahoma City, OK |
| O20220427002886 | OK | DME Supplier - Physician - General Practice | 7719301449 | Practice locations: Oklahoma City, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1601 SW 89TH St Ste A100
Oklahoma City, OK 73159-6357
Mailing address
1601 SW 89TH St Ste A100
Oklahoma City, OK 73159-6357
Phone (206) 465-4313
Other providers in Oklahoma City, OK
- Hannah Worlitz
- Susan D Worsham
- William Stanley Worthington
- Gloria D Worthy-Muhammad
- Wound Management of Oklahoma, Inc.
- Wovenlife, Inc.
- Eden Woznick
- Bethany Wrasse
- Andrea Michelle Wray
- Jeffrey Charles Wren
All providers in Oklahoma City, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.