Organization Active NPI

Wound Specialists, LLC

  • Surgery Physician
  • York, PA
National Provider Identifier
1396705927
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD024908E Issued in PA
Legal business name
WOUND SPECIALISTS, LLC
Practice address
2300 Pleasant Valley Rd BLDG 3
York, PA 17402-9627
Phone
(717) 741-9444
Fax
(717) 741-4572
NPI assigned
Mar 27, 2006
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Nikhilesh Agarwal, MD
Title
President
Phone
(717) 741-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD024908E PA Primary

Addresses

Primary practice location

2300 Pleasant Valley Rd BLDG 3
York, PA 17402-9627

Mailing address

2300 Pleasant Valley Rd BLDG 3
York, PA 17402-9627
Phone (717) 741-9444

Other identifiers 1

IdentifierTypeStateIssuer
0010099130002MedicaidPA

National Provider Directory

National Provider Directory

Locations

15 Wyntre Brooke Dr
York, PA 17403
Phone (717) 739-6576

2300 Pleasant Valley Rd
Bldg 3
York, PA 17402
Phone (717) 332-7990

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1396705927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD BLDG 3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-741-9444",
            "fax_number": "717-741-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD BLDG 3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-741-9444",
            "fax_number": "717-741-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "NIKHILESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-741-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD024908E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010099130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.