Active NPI
The Center for Advanced Wound Care
- Surgery Physician
- Wyomissing, PA
National Provider Identifier
1174758981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD039223L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD039223L | PA | Primary |
| Physical Therapist | 225100000X | PT016859 | PA | |
| Physical Therapist | 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 DirectoryLocations
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
- Kelly Lyn Telson, MS, OTR/L
- Kevin M Terefenko, M.D.
- Samantha Nicole Terry, PA
- Elizabeth Marie Teter, ATC
- Linda M Texter, CRNP
- The Center for Pediatric Therapy Inc
- The Center for Pediatric Therapy Inc
- The Center for Pediatric Therapy Inc
- The Center for Pediatric Therapy, Inc
- The Childrens Clininic of Wyomissing
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.