Gem Wound Specialists, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD456679 Issued in PA

Legal business name

GEM WOUND SPECIALISTS, LLC

Practice address

250 N Columbus Blvd Apt 707
Philadelphia, PA 19106-1458

Phone

(814) 419-6863

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Godfred Eyiah-Mensah, MD

Title

Ceo/Medical Director

Phone

(814) 419-6863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689183121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N COLUMBUS BLVD APT 707",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061458",
            "telephone_number": "814-419-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N COLUMBUS BLVD APT 707",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061458",
            "telephone_number": "814-419-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM WOUND SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EYIAH-MENSAH",
        "authorized_official_first_name": "GODFRED",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-419-6863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD456679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Laura Gelman, LCSW
• Bruce P Gelman, M.D.
• Camryn Gelting
• David Gary Geltzer, DPM
• Andrea Gelzer, M.D.
• Gemma Services
• Charles L Gemmi III, DMD
• Nancy Genatt, LMT
• Young J Genau, MD
• Andrew Thomas Genco, PHARMD

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.