Michigan Wound Care and Hyperbaric Institute PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5101007418 Issued in MI

Legal business name

MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC

Practice address

24111 Southfield Rd
Southfield, MI 48075-2841

Phone

(248) 557-8800

Fax

(248) 557-8860

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor O Ubom, D.O.

Title

Owner

Phone

(248) 557-8800

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1346549409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752841",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752841",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "UBOM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-557-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101007418",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704217515",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704154415",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan United Cerebral Palsy
• Michigan Urological Institute
• Michigan Vascular Access, PC
• Michigan Visiting Physician Services, Inc
• Michigan Wound Care and Hyperbaric Institute PC
• Michiganders for Quality Education
• Midwest Comprehensive Cardiovascular Care PLLC
• Midwest Connection LLC
• Midwest Home Health Care, Inc.
• Midwest Infusion Inc

• Vascular Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.