Organization Active NPI

American Wound Healing Center

  • Podiatrist
  • Rockville, MD
National Provider Identifier
1194838466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
AMERICAN WOUND HEALING CENTER
Practice address
12230 Rockville Pike
Suite 250
Rockville, MD 20852-1672
Phone
(443) 522-9749
Fax
(443) 522-9725
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myron Bernstein, DPMNPI 1609880350
Title
Management Consultant
Phone
(301) 770-5033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

12230 Rockville Pike
Suite 250
Rockville, MD 20852-1672

Mailing address

PO Box 374
Monkton, MD 21111-0374
Phone (443) 522-9749

Other identifiers 2

IdentifierTypeStateIssuer
670BAMOtherMDBLUESHIELD
K409OtherDCBLUESHIELD

National Provider Directory

National Provider Directory

Locations

12230 Rockville Pike
Ste 250A
Rockville, MD 20852
Phone (301) 770-5033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194838466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211110374",
            "telephone_number": "443-522-9749",
            "fax_number": "443-522-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 ROCKVILLE PIKE",
            "address_2": "SUITE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521672",
            "telephone_number": "443-522-9749",
            "fax_number": "443-522-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN WOUND HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "MANAGEMENT CONSULTANT",
        "authorized_official_telephone_number": "301-770-5033",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "670BAM",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "K409",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.