Mobile Wound Healing Wa LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MOBILE WOUND HEALING WA LLC

Practice address

13140 Country Club Dr SW Unit 204
Lakewood, WA 98498-5330

Phone

(253) 209-0019

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John H Bargren, MDNPI 1750392049

Title

Owner

Phone

(253) 209-0019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John H Bargren, MD

  • Orthopaedic Surgery Physician
  • Tacoma, WA
  • NPI 1750392049
  Medicare reassignment NPD Authorized official
• Joshua Aaron Johnston, M.D.

  • Orthopaedic Surgery Physician
  • Federal Way, WA
  • NPI 1730380833
  Medicare reassignment NPD
• Hana Lee Cha, MPAS, PA-C

  • Physician Assistant
  • Tacoma, WA
  • NPI 1699968800
  Medicare reassignment
• Jennifer Lynn Cha, PA-S

  • Physician Assistant
  • Lacey, WA
  • NPI 1700309416
  Medicare reassignment
• Matthew C Marshall, MPAS, PA-C

  • Physician Assistant
  • Olympia, WA
  • NPI 1588924781
  Medicare reassignment
• Daniel R Rhoads, PAC

  • Physician Assistant
  • Spokane, WA
  • NPI 1316046162
  Medicare reassignment
• Julia Ann Taylor, PAC

  • Medical Physician Assistant
  • Spokane, WA
  • NPI 1336248129
  Medicare reassignment

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1619732930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 COUNTRY CLUB DR SW UNIT 204",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985330",
            "telephone_number": "253-209-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COUNTRY CLUB DR SW UNIT 204",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985330",
            "telephone_number": "253-209-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND HEALING WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "BARGREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-209-0019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Joy Mitchell
• Lauren Ann Mitchell
• MMG Speech & Therapeutic Services, LLC
• MMM Counseling, PLLC
• Bruce Moberg
• Obinna Moemenam, PHARMD
• Kimberly Mohamed, CNA
• Georgia Ann Mohler, BSN ARNP
• Christine Grace Mohr, BA
• Abby Deniece Molina

• Orthopaedic Surgery Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.