Organization Active NPI

Wound Specialists of Greater Cincinnati, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1417193681
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
35-082412 Issued in OH
Legal business name
WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC
Practice address
10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone
(513) 865-1111
Fax
(513) 557-3329
NPI assigned
Dec 18, 2008
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Arti Balar Masturzo, MDNPI 1740227610
Title
Owner
Phone
(513) 557-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X
Internal Medicine Physician 207R00000X 35-082412 OH
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 35-082412 OH Primary

Addresses

Primary practice location

10500 Montgomery Rd
Cincinnati, OH 45242-4402

Mailing address

PO Box 643911
Cincinnati, OH 45264-3911
Phone (513) 557-3330

Other identifiers 3

IdentifierTypeStateIssuer
64096233MedicaidKY
7100118600MedicaidKY
2993891MedicaidOH

National Provider Directory

National Provider Directory

Locations

7025 Clovernook Ave
Cincinnati, OH 45231
Phone (513) 605-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1417193681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643911",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643911",
            "telephone_number": "513-557-3330",
            "fax_number": "513-557-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-865-1111",
            "fax_number": "513-557-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MASTURZO",
        "authorized_official_first_name": "ARTI",
        "authorized_official_middle_name": "BALAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-557-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-082412",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "OH",
            "license": "35-082412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64096233",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100118600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.