Wound MD PA PLLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

WOUND MD PA PLLC

Practice address

905 W Sproul Rd Ste 106
Springfield, PA 19064-1254

Phone

(855) 479-4217

Fax

(888) 557-9724

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Azmat Husain

Title

Owner

Phone

(410) 300-3830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1386331676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE STE 630",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822730",
            "telephone_number": "855-479-4217",
            "fax_number": "888-557-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W SPROUL RD STE 106",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641254",
            "telephone_number": "855-479-4217",
            "fax_number": "888-557-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MD PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "AZMAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-300-3830"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Williams
• Michael Paul Wilson, OTC
• Anne Woehling, MD
• Colleen Wolf, RPH
• Jessica Elizabeth Woods, PHD
• Victoria Antoinette Wright-Adams, PHD, LPC
• Chantal Wright, M.ED
• Gwen Wright, PAC
• Yei Wuo
• Jeannette B. Wyatt, MSS

• Wound Care Registered Nurse in Springfield, PA
• Providers in Springfield, PA by specialty
• Wound Care Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.