Organization Active NPI

Wound Care Specialists of Ohio LLC

  • Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1396938346
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-06865 Issued in OH
Legal business name
WOUND CARE SPECIALISTS OF OHIO LLC
Practice address
670 Winding Woods Dr
Loveland, OH 45140-9170
Phone
(513) 478-5300
Fax
(513) 785-0667
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mary Lynn Payne, NPNPI 1164591244
Title
President
Phone
(513) 478-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X NP-06865 OH Primary

Addresses

Primary practice location

670 Winding Woods Dr
Loveland, OH 45140-9170

Mailing address

PO Box 4
Loveland, OH 45140-0004
Phone (513) 478-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519001407 OH Part B Supplier - Clinic/Group Practice 1759372618 Receives reassigned benefits from 3 practitioners
Practice locations: Kettering, OH; Lebanon, OH; Loveland, OH; Mason, OH; Milford, OH; Morrow, OH; Springfield, OH; West Chester, OH…

National Provider Directory

National Provider Directory

Locations

3875 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 793-5220

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1396938346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451400004",
            "telephone_number": "513-478-5300",
            "fax_number": "513-785-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 WINDING WOODS DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409170",
            "telephone_number": "513-478-5300",
            "fax_number": "513-785-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SPECIALISTS OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-478-5300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-06865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.