NPIMap

Organization Active NPI

Ohio Wound Care Associates LLC

  • Internal Medicine Physician
  • North Royalton, OH
National Provider Identifier
1659965457
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OHIO WOUND CARE ASSOCIATES LLC
Practice address
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone
(440) 652-8748
Fax
(440) 582-3171
NPI assigned
Feb 23, 2021
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Tracy Wimberg Jr.
Title
Authorized Official
Phone
(609) 517-2526

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Vascular Surgery Physician 2086S0129X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

12301 Ridge Rd
North Royalton, OH 44133-3744

Mailing address

5741 Shields Rd Ste B
Canfield, OH 44406-9814
Phone (440) 652-8748

Other practice location 1

648 Longhorn St NW
Carrollton, OH 44615-9469
Phone (330) 559-5115

Other practice location 2

9928 Vail Dr
Twinsburg, OH 44087-2972
Phone (330) 559-5115

Other practice location 3

9184 Market St
North Lima, OH 44452-9558
Phone (330) 559-5115

Other practice location 4

871 Elmwood Dr
Hubbard, OH 44425-9701
Phone (330) 559-5115

Other practice location 5

48444 Bell School Rd
Calcutta, OH 43920-9646
Phone (330) 559-5115

Other practice location 6

5741 Shields Rd Ste B
Canfield, OH 44406-9814
Phone (330) 559-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311002489 OH Part B Supplier - Clinic/Group Practice 7719393032 Receives reassigned benefits from 28 practitioners
Practice locations: North Royalton, OH

National Provider Directory

National Provider Directory

Locations

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1659965457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 SHIELDS RD STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069814",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Longhorn St NW",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "OH",
            "postal_code": "446159469",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9928 Vail Dr",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440872972",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9184 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529558",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Elmwood Dr",
            "address_purpose": "LOCATION",
            "city": "Hubbard",
            "state": "OH",
            "postal_code": "444259701",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48444 Bell School Rd",
            "address_purpose": "LOCATION",
            "city": "Calcutta",
            "state": "OH",
            "postal_code": "439209646",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5741 Shields Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069814",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHIO WOUND CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "WIMBERG",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "609-517-2526",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.