Old Mission Wound Care Maryland LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OLD MISSION WOUND CARE MARYLAND LLC

Practice address

1989 Kroupa Rd
Traverse City, MI 49686-9759

Phone

(231) 260-4622

NPI assigned

Dec 14, 2024

Organization subpart

No

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

Authorized official

Name

Christopher Paul Mason, DONPI 1073838017

Title

Owner

Phone

(231) 260-4622

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Paul Mason, D.O., M.S.

  • Emergency Medicine Physician
  • New Ulm, MN
  • NPI 1073838017
  NPD Authorized official

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1124835004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MATLAGE WAY UNIT 31",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774870807",
            "telephone_number": "231-260-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 KROUPA RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869759",
            "telephone_number": "231-260-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MISSION WOUND CARE MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-260-4622",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Mission Wound Care Florida PLLC
• Old Mission Wound Care Georgia LLC
• Old Mission Wound Care Indiana LLC
• Old Mission Wound Care Kansas LLC
• Old Mission Wound Care Kentucky PLLC
• Old Mission Wound Care Michigan PLLC
• Old Mission Wound Care Minnesota PLLC
• Old Mission Wound Care Missouri LLC
• Old Mission Wound Care New Mexico LLC
• Old Mission Wound Care North Carolina, PLLC

• Specialist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.