Organization Active NPI

Wound100 Southeast LLC

  • Clinic/Center
  • Birmingham, AL
National Provider Identifier
1407727993
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WOUND100 SOUTHEAST LLC
Practice address
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Phone
(205) 855-2237
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Frank Emsick
Title
Chief Technology Officer
Phone
(402) 651-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900

Mailing address

17414 Washington St
Omaha, NE 68135-3202
Phone (402) 651-6040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1407727993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17414 WASHINGTON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353202",
            "telephone_number": "402-651-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT CORPORATE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421900",
            "telephone_number": "205-855-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND100 SOUTHEAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "EMSICK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF TECHNOLOGY OFFICER",
        "authorized_official_telephone_number": "402-651-6040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.