Advanced Wound Concepts Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

061-18015-4 Issued in MS

Legal business name

ADVANCED WOUND CONCEPTS INC.

Practice address

23366 Commerce Park
Suite 208
Beachwood, OH 44122-5850

Phone

(216) 595-0940

Fax

(877) 454-7463

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Adam J Pollack

Title

President

Phone

(216) 595-0940

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Preferred Diabetics Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1467678367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK",
            "address_2": "SUITE 208",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225850",
            "telephone_number": "216-595-0940",
            "fax_number": "877-454-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK",
            "address_2": "SUITE 208",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225850",
            "telephone_number": "216-595-0940",
            "fax_number": "877-454-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CONCEPTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-595-0940"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "061-18015-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03784897",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2992945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Diabetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.