Active NPI
Advanced Wound Care Team
- Wound Care Registered Nurse
- Macomb, MI
National Provider Identifier
1417752155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 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 DirectoryLocations
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.