Missouri Wound LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISSOURI WOUND LLC

Practice address

1501 Charbonier Rd
Florissant, MO 63031-5308

Phone

(646) 289-5357

NPI assigned

Sep 16, 2026

Last updated

Sep 16, 2026By 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

Samuel Kohn

Title

Manager

Phone

(347) 631-6775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1356252209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315308",
            "telephone_number": "646-289-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI WOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-631-6775"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missouri Direct Care LLC (A Better Life Health Care Network)
• Missouri Happy Homes
• Missouri Mso LLC
• Rebecca Lynn Mitchell
• MJP Home Solutions LLC
• Grace Modde
• Joshua Mikel Moehle, PT
• Geoffrey J Moeller, LCSW

• Family Medicine Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.