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
- 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 DirectoryNPI 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.