Organization Active NPI

United Wound Care, LLC

  • Wound Care Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1124893888
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
UNITED WOUND CARE, LLC
Practice address
12125 Woodcrest Executive Dr Ste 110
Saint Louis, MO 63141-5009
Phone
(314) 789-2486
NPI assigned
Nov 21, 2023
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Jonathan Pollock
Title
Owner
Phone
(314) 789-2486

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

12125 Woodcrest Executive Dr Ste 110
Saint Louis, MO 63141-5009

Mailing address

12125 Woodcrest Executive Dr Ste 110
Saint Louis, MO 63141-5009

Other names 1

  • United Wound Care Centers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240104001834 MO Part B Supplier - Clinic/Group Practice 9436500311 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO
O20250625002401 MO DME Supplier - Multi-Specialty - Physician 9436500311 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1001 Brittany Pkwy
Manchester, MO 63011
Phone (314) 591-2428

12125 Woodcrest Executive Dr
Ste 110
Saint Louis, MO 63141
Phone (314) 275-8599

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1124893888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 WOODCREST EXECUTIVE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 WOODCREST EXECUTIVE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415009",
            "telephone_number": "314-789-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-789-2486"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Wound Care Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.