Active NPI
Wound Care of Cape Girardeau LLC
- General Practice Physician
- Cape Girardeau, MO
National Provider Identifier
1477818318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD110547
- Legal business name
- WOUND CARE OF CAPE GIRARDEAU LLC
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (314) 821-8055
- NPI assigned
- Jul 6, 2012
- 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
- Mrs. Jennifer C Jiang, MD
- Title
- President
- Phone
- (314) 821-8055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD110547 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
PO Box 191850
Saint Louis, MO 63119-7850
Phone (314) 821-8055
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341532800000",
"number": "1477818318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191850",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631197850",
"telephone_number": "314-821-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "314-821-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE OF CAPE GIRARDEAU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A",
"authorized_official_last_name": "JIANG",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-821-8055",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MO",
"license": "MD110547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.