Organization Active NPI

The Center for Advanced Wound Care

  • Surgery Physician
  • Wyomissing, PA
National Provider Identifier
1174758981
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD039223L Issued in PA
Legal business name
THE CENTER FOR ADVANCED WOUND CARE
Practice address
2201 Ridgewood Rd
Suite 190
Wyomissing, PA 19610-1189
Phone
(610) 373-5500
Fax
(610) 373-5600
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Joseph P Cavorsi, M.D.
Title
Ceo
Phone
(610) 373-5500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD039223L PA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT016859 PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT015079 PA

Addresses

Primary practice location

2201 Ridgewood Rd
Suite 190
Wyomissing, PA 19610-1189

Mailing address

2201 Ridgewood Rd
Suite 190
Wyomissing, PA 19610-1189
Phone (610) 373-5500

National Provider Directory

National Provider Directory

Locations

2201 Ridgewood Rd
Ste 190
Wyomissing, PA 19610
Phone (610) 373-5500

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1174758981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 190",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-373-5500",
            "fax_number": "610-373-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 190",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-373-5500",
            "fax_number": "610-373-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "CAVORSI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-373-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD039223L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.