Wound RX Medical Michigan PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOUND RX MEDICAL MICHIGAN PLLC

Practice address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Phone

(786) 531-4702

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Karen Fordham

Title

Owner

Phone

(786) 531-4702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Thomas Knuth, M.D.

  • Surgery Physician
  • Detroit, MI
  • NPI 1922023837
  Medicare reassignment Care Compare group NPD
• William Peter Graper, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sarasota, FL
  • NPI 1952305302

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1245057579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "786-531-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND RX MEDICAL MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-531-4702"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalen Woods
• Precious Joy Woods
• Woodward Detroit CVS LLC
• Andrew Worden
• Cassandra Wormack, MD
• Wray of Light, PLLC
• Jan Q Wu, MD
• Wychers-Caldwell Counseling PLLC
• Linda Wychers-Caldwell, LMSW
• Kranthi L Yanala, RPH

• Family Medicine Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.