Ameriwound Physicians Mo LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AMERIWOUND PHYSICIANS MO LLC

Practice address

13700 Old Halls Ferry Rd
Black Jack, MO 63033-4109

Phone

(314) 355-0760

NPI assigned

Aug 18, 2025

Last updated

Aug 18, 2025By 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

Samson Fixler

Title

Secretary

Phone

(216) 273-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ameriwound LLC

  • Contractor
  • Mayfield Heights, OH
  • NPI 1740535988

  Member Of

  NPD member

Practitioners 2

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.

• Diana A. Prablek, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1588689541
  Medicare reassignment Care Compare group NPD
• LJ Punch, MD

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1013042100
  Care Compare group

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1538046081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 PARKLAND BLVD STE 225",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244103",
            "telephone_number": "216-273-9800",
            "fax_number": "216-273-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 OLD HALLS FERRY RD",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334109",
            "telephone_number": "314-355-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIWOUND PHYSICIANS MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "FIXLER",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "216-273-9800"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Black Jack, MO
• Providers in Black Jack, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.