Organization Active NPI

Advanced Wound Care Team

  • Wound Care Registered Nurse
  • Macomb, MI
National Provider Identifier
1417752155
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
ADVANCED WOUND CARE TEAM
Practice address
51815 Milano Dr
Macomb, MI 48042-4052
Phone
(586) 202-0172
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Shamroon Khan
Title
Manager
Phone
(586) 202-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

51815 Milano Dr
Macomb, MI 48042-4052

Mailing address

51815 Milano Dr
Macomb, MI 48042-4052
Phone (586) 202-0172

National Provider Directory

National Provider Directory

Locations

51815 Milano Dr
Macomb, MI 48042
Phone (586) 202-0172

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1417752155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51815 MILANO DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424052",
            "telephone_number": "586-202-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51815 MILANO DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424052",
            "telephone_number": "586-202-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAMROON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-202-0172"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.