Regen Wound & Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

REGEN WOUND & WELLNESS

Practice address

67 Marydale Dr
Dayton, OH 45440-2358

Phone

(578) 376-6869

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Matt Elam

Title

Owner

Phone

(937) 458-3803

Specialties & licenses 1

Addresses

Other names 1

• ReGen Wound & Wellness Other name

Practitioners 1

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

• Whitaker Michael Smith, MD

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1003827205
  NPD

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1427933498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MARYDALE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402358",
            "telephone_number": "937-626-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MARYDALE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402358",
            "telephone_number": "578-376-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN WOUND & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-458-3803"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReGen Wound & Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regal Wellness LLC
• Kelsi Regan
• Michael P. Regan, DPM
• Rose Regan, OTR/L
• Maria Anne Regas
• Regen Wound & Wellness
• Amanda Bethany Reger, MPT
• Rehab Medical LLC
• Rehab to Health LLC
• Rehabilitation Specialists of Southwest Ohio

• Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.