Maryland Wound & Amputation Prevention, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MARYLAND WOUND & AMPUTATION PREVENTION, LLC

Practice address

1300 York Rd Ste 200
Lutherville, MD 21093-6090

Phone

(443) 383-9300

Fax

(855) 866-8710

NPI assigned

Sep 1, 2021

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Thomas

Title

Credentialing Specialist

Phone

(443) 383-9300

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Massoud Arbabzadeh, MD

  • Vascular & Interventional Radiology Physician
  • Garden Grove, CA
  • NPI 1841245149

  DC, MD

  Medicare reassignment NPD
• Elliot Landau, M.D.

  • Vascular & Interventional Radiology Physician
  • Staten Island, NY
  • NPI 1902151038

  DC, MD

  Medicare reassignment NPD
• Avrom Isaac Labowitz, PA

  • Physician Assistant
  • Baltimore, MD
  • NPI 1356178842

  DC

  Medicare reassignment
• Ahron Leib Wealcatch, PA-C

  • Physician Assistant
  • Silver Spring, MD
  • NPI 1679117790

  DC

  Medicare reassignment
• Brittany Windrow, PA-C

  • Medical Physician Assistant
  • Sparks, MD
  • NPI 1568167005

  DC

  Medicare reassignment

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1134897424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69469",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649469",
            "telephone_number": "877-982-9227",
            "fax_number": "877-449-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936090",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND WOUND & AMPUTATION PREVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "443-383-9300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacen A Martinez, P.A.
• Maryland Family Care, Inc.
• Maryland Institute for Pelvic Neuro Science LLC
• Maryland Pediatric Group, LLC
• Maryland Spine Center Chartered
• Cindy Masom, P.T.
• Sofie Margaret Massa, DPT
• Tammie Massey-Brown
• Marie E Mastracco, LCPC
• Ann Marie Matesi, PT

• Vascular & Interventional Radiology Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.