Indiana Wound Care, P.C.

Primary specialty

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

License

50004525A Issued in IN

Legal business name

INDIANA WOUND CARE, P.C.

Practice address

700 Broadway FL 2
Fort Wayne, IN 46802-1402

Phone

(260) 424-9000

Fax

(260) 425-3029

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Gail Ryan

Title

Office Manager

Phone

(260) 424-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Lindsey N Bowers, PA

  • Physician Assistant
  • Newburgh, IN
  • NPI 1770863342
  NPD (past)
• Debra K Brandenberger, NP

  • Adult Health Nurse Practitioner
  • Decatur, IN
  • NPI 1063412419
  NPD (past)
• Philip A Rettenmaier, DO

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Wayne, IN
  • NPI 1871593418
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1619950185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10493",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468520493",
            "telephone_number": "260-424-9000",
            "fax_number": "260-425-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY FL 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021402",
            "telephone_number": "260-424-9000",
            "fax_number": "260-425-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA WOUND CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-424-9000"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "IN",
            "license": "50004525A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437440A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA1057",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health Urgent Care Centers, LLC
• Indiana University Health Urgent Care Centers, LLC
• Indiana University Health Urgent Care Centers, LLC
• Indiana Vision Development Center II LLC
• Indiana Vision Development Center PC
• Renuka Indlamuri
• Infectious Disease Associates, P.C.
• Infinite Abilities LLC
• Infinite Journey, LLC
• Infinity Home Care Agency Inc.

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.