Active NPI
Michigan Wound Care Specialists PLLC
- Wound Care Registered Nurse
- Mt Pleasant, MI
National Provider Identifier
1457040610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- MICHIGAN WOUND CARE SPECIALISTS PLLC
- Practice address
- 4641 E Pickard St
Mt Pleasant, MI 48858-2007 - Phone
- (989) 948-4863
- Fax
- (989) 215-6501
- NPI assigned
- May 3, 2023
- Last updated
- May 3, 2023
- 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
- Jose Raygada
- Title
- M.D
- Phone
- (989) 948-4863
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary |
Addresses
Primary practice location
4641 E Pickard St
Mt Pleasant, MI 48858-2007
Mailing address
2805 Peachtree Industrial Blvd Ste 213
Duluth, GA 30097-8171
Phone (678) 940-8115
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Infectious Disease Physician
- Mt Pleasant, MI
- NPI 1063623981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1457040610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 213",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978171",
"telephone_number": "678-940-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 E PICKARD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582007",
"telephone_number": "989-948-4863",
"fax_number": "989-215-6501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN WOUND CARE SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "RAYGADA",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "989-948-4863"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
- Michael J Moutsatson DO PLLC
- Marlene Michalowski, O.G.N.P.
- Michigan Healthcare Professionals, P.C.
- Michigan Radiology Consultants, PC
- Michigan Therapeutic Consultants PC
- Mid Michigan Radiology Associates, P.C.
- Mid-Michigan Family, LTD.
- Mid-Michigan Industries, Inc.
- Mid-Michigan Neurology Center, PLLC
- Midmichigan Pain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.