Az Advanced Wound Care

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

AZ ADVANCED WOUND CARE

Doing business as

AZ Advanced Wound Care

Practice address

4838 E Baseline Rd.
BLDG 2 Ste 113
Mesa, AZ 85206-4674

Phone

(602) 835-3809

Fax

(480) 944-0859

NPI assigned

Apr 10, 2026

Last updated

Aug 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breanna N Waller

Title

Director of Operations

Phone

(615) 723-2828

Specialties & licenses 2

Addresses

Other names 1

• AZ Advanced Wound Care Doing business as

Locations

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.

• Cecil C Graham, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1578558920
  NPD

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1477496925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064674",
            "telephone_number": "602-835-3809",
            "fax_number": "480-944-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD.",
            "address_2": "BLDG 2 STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064674",
            "telephone_number": "602-835-3809",
            "fax_number": "480-944-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-723-2828"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Advanced Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Axis Case Management LLC
• Brenda Zulema Ayala
• Ekinadase Ayiyi, NP
• Aisha Mohammed Ayoub
• Suha Ali Ayoub, MD
• Az Anesthesia, LLC
• Az Be Well PLLC
• Az Behavioral
• Az Child and Family Psychological Services, PLLC.
• Az Dermatology LLC

• Geriatric Medicine (Family Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Geriatric Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.