Premier Wound Care of the Midwest

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER WOUND CARE OF THE MIDWEST

Practice address

15325 Old Town Dr
Parkville, MO 64152-1547

Phone

(573) 480-8930

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Melissa A Pickett, NP

Title

Owner

Phone

(573) 216-8370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1114740115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 OLD TOWN DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641521547",
            "telephone_number": "573-480-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 OLD TOWN DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641521547",
            "telephone_number": "573-480-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOUND CARE OF THE MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-216-8370",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Picture Hills Behavioral Medicine, Inc.
• Chris Michael Pinkham, M.D.
• Positive Directions Counseling Services LLC
• Positive Options Counseling Services Incorporated
• Amy Post, PLPC
• Kailee Sherer Price, MS, BCBA
• Amy M Proctor
• Jessica Pryor Freels
• Melissa Quattlebaum, PLPC
• Shelbie Jayne Ranft

• Family Medicine Physician in Parkville, MO
• Providers in Parkville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.