Active NPI
United Wouncare Institute Michigan PLLC
- Surgery Physician
- Detroit, MI
National Provider Identifier
1194590307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- UNITED WOUNCARE INSTITUTE MICHIGAN PLLC
- Practice address
- 22711 Grand River Ave Ste 2000
Detroit, MI 48219-3113 - Phone
- (888) 402-0202
- Fax
- (888) 860-2960
- NPI assigned
- Nov 17, 2023
- Last updated
- Oct 18, 2024
- 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
- Kimberly Miller
- Title
- Director of RCM
- Phone
- (248) 331-7908
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Surgery Physician | 208600000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
22711 Grand River Ave Ste 2000
Detroit, MI 48219-3113
Mailing address
2020 Calamos CT Ste 250
Naperville, IL 60563-2856
Phone (888) 402-0202
National Provider Directory
National Provider DirectoryLocations
2020 Calamos Ct
Ste 250
Naperville, IL 60563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1194590307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CALAMOS CT STE 250",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632856",
"telephone_number": "888-402-0202",
"fax_number": "248-697-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22711 GRAND RIVER AVE STE 2000",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193113",
"telephone_number": "888-402-0202",
"fax_number": "888-860-2960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED WOUNCARE INSTITUTE MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-17",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-331-7908"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.