Wound Pros Rhode Island

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOUND PROS RHODE ISLAND

Practice address

10 Dorrance St Ste 700
Providence, RI 02903-2014

Phone

(888) 880-3451

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ayodele Otiko, MD

Title

President

Phone

(888) 880-3451

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1497487169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 500",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926636",
            "telephone_number": "818-836-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "888-880-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROS RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-880-3451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Marie Woolhouse, MS CCC
• Daina M. Worcester, NP
• Elizabeth Worden, PA
• Nicole M Wotton, M.A.
• Wound Care Specialists of Ri, LLC
• Adam R Wray, MD
• Erica Wray, M.D.
• Famatta Markaryor Wright-Grabo
• Jennifer L Wright-Maley, MSN, MPH, CNM
• Amy Elizabeth Wright, FNP

• General Practice Physician in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.