Organization Active NPI

Wound Think Consulting, LLC

  • General Practice Physician
  • Mentor, OH
National Provider Identifier
1235706516
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUND THINK CONSULTING, LLC
Practice address
5452 Grace Dr
Mentor, OH 44060-1500
Phone
(440) 227-2000
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Jennifer Elizabeth CordrayNPI 1215553052
Title
Nurse Practitioner
Phone
(440) 227-2000

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5452 Grace Dr
Mentor, OH 44060-1500

Mailing address

5452 Grace Dr
Mentor, OH 44060-1500
Phone (440) 227-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL woundthinkconsulting.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728004117 OH Part B Supplier - Clinic/Group Practice 6901209915 Receives reassigned benefits from 1 practitioner
Practice locations: Mentor, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1235706516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 GRACE DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601500",
            "telephone_number": "440-227-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 GRACE DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601500",
            "telephone_number": "440-227-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND THINK CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "CORDRAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "440-227-2000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "woundthinkconsulting.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business information",
            "address_1": "5452 Grace Dr",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440601500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.