Active NPI
Woundcaremax PLLC
- Specialist
- Richland, WA
National Provider Identifier
1710313861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00044678
- Legal business name
- WOUNDCAREMAX PLLC
- Practice address
- 1268 Lee Blvd
Richland, WA 99352-4231 - Phone
- (509) 942-2660
- Fax
- (509) 942-2234
- NPI assigned
- Sep 20, 2013
- Last updated
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Simona G. Marie, M.D.
- Title
- Owner
- Phone
- (509) 820-9727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00044678 | WA | Primary |
Addresses
Primary practice location
1268 Lee Blvd
Richland, WA 99352-4231
Mailing address
PO Box 7183
Kennewick, WA 99336-0616
Phone (509) 491-3256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
780 Swift Blvd
Ste 340
Richland, WA 99352
Phone (509) 942-2867
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Physician
- Richland, WA
- NPI 1154575090
-
- Urgent Care Clinic/Center
- Kennewick, WA
- NPI 1164829123
-
- Family Nurse Practitioner
- Pasco, WA
- NPI 1194127746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1710313861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7183",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993360616",
"telephone_number": "509-491-3256",
"fax_number": "509-579-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 LEE BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524231",
"telephone_number": "509-942-2660",
"fax_number": "509-942-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUNDCAREMAX PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-20",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "MARIE",
"authorized_official_first_name": "SIMONA",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-820-9727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00044678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.