Organization Active NPI

Wound Care Center PA

  • Foot & Ankle Surgery Podiatrist
  • Brunswick, ME
National Provider Identifier
1508447236
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WOUND CARE CENTER PA
Practice address
310 Bath Rd
Brunswick, ME 04011-2651
Phone
(207) 725-4008
Fax
(207) 725-5749
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Angelique Beth Saraydarian, RN
Title
Manager
Phone
(207) 725-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

310 Bath Rd
Brunswick, ME 04011-2651

Mailing address

310 Bath Rd
Brunswick, ME 04011-2651
Phone (207) 725-4008

National Provider Directory

National Provider Directory

Locations

310 Bath Rd
Brunswick, ME 04011
Phone (207) 373-6175

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1508447236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112651",
            "telephone_number": "207-725-4008",
            "fax_number": "207-725-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112651",
            "telephone_number": "207-725-4008",
            "fax_number": "207-725-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SARAYDARIAN",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-725-4008",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.