Old Mission Wound Care Minnesota PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OLD MISSION WOUND CARE MINNESOTA PLLC

Practice address

1989 Kroupa Rd
Traverse City, MI 49686-9759

Phone

(231) 260-4622

NPI assigned

Aug 7, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Paul Mason, DO

Title

Owner

Phone

(231) 260-4622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1316777865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MATLAGE WAY UNIT 31",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774870807",
            "telephone_number": "231-260-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 KROUPA RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869759",
            "telephone_number": "231-260-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MISSION WOUND CARE MINNESOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-260-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Mission Wound Care Indiana LLC
• Old Mission Wound Care Kansas LLC
• Old Mission Wound Care Kentucky PLLC
• Old Mission Wound Care Maryland LLC
• Old Mission Wound Care Michigan PLLC
• Old Mission Wound Care Missouri LLC
• Old Mission Wound Care New Mexico LLC
• Old Mission Wound Care North Carolina, PLLC
• Old Mission Wound Care Ohio LLC
• Old Mission Wound Care Pennsylvania PLLC

• Specialist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Specialist in Michigan

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

Verify at the official NPI Registry.