Wiregrass Wound Care LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

WIREGRASS WOUND CARE LLC

Practice address

1908 Fairview Ave
Dothan, AL 36301-3008

Phone

(334) 699-6863

Fax

(334) 699-6864

NPI assigned

Mar 14, 2011

Last updated

Mar 21, 2011By 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

Alexander G Benz, MDNPI 1497712236

Title

Owner/MD

Phone

(334) 699-6863

Specialties & licenses 1

Addresses

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.

• Alexander G Benz, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gainesville, GA
  • NPI 1497712236
  NPD (past) Authorized official

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1578861688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9104",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363041104",
            "telephone_number": "334-699-6863",
            "fax_number": "334-699-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 FAIRVIEW AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008",
            "telephone_number": "334-699-6863",
            "fax_number": "334-699-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "334-699-6863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wiregrass Vascular, P.C.
• Wiregrass Wellness Center, LLC
• Wiregrass Wound & Amputation Prevention Center, LLC
• Wiregrass Wound & Amputation Prevention Center, LLC
• Wiregrass Wound Care Consultants LLC
• Wirewall Healthcare Distribution LLC
• Jerry Paul Wisdom III, CRNP
• Jessica Nicole Wisdom, CRNP
• Steven Dwayne Wise, M.D.
• Cindy Womack

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.