Organization Active NPI

Woundrite Physicians Management, LLC

  • Dermatology Physician
  • Monroe, MI
National Provider Identifier
1205454865
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WOUNDRITE PHYSICIANS MANAGEMENT, LLC
Doing business as
WoundRite
Practice address
1971 N Monroe St
Monroe, MI 48162-4255
Phone
(989) 996-3269
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Stephanie Ann Abul, MD
Title
Wound Physician; Owner
Phone
(989) 996-3269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1971 N Monroe St
Monroe, MI 48162-4255

Mailing address

281 Dundee Ridge Dr
Dundee, MI 48131-9581
Phone (989) 996-3269

Other names 1

  • WoundRite Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1205454865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 DUNDEE RIDGE DR",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481319581",
            "telephone_number": "989-996-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624255",
            "telephone_number": "989-996-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDRITE PHYSICIANS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "ABUL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "WOUND PHYSICIAN; OWNER",
        "authorized_official_telephone_number": "989-996-3269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WoundRite",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WoundRite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.