Ms Wound Care PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MS WOUND CARE PC

Practice address

2247 E Mallory Cir
Mesa, AZ 85213-1413

Phone

(949) 627-3272

Fax

(949) 499-9877

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Marcus Yetter, DPMNPI 1316350044

Title

Owner

Phone

(480) 390-8436

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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

• Marcus D Yetter, DPM

  • Podiatrist
  • Laguna Beach, CA
  • NPI 1316350044

  AZ

  Medicare reassignment NPD Authorized official
• Scott Crismon, D.P.M.

  • Sports Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1679872725

  AZ

  Medicare reassignment NPD
• Audrey Lynn Johnston, NP

  • Nurse Practitioner
  • Orange, CA
  • NPI 1205482064
  NPD (past)

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1740165679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHAPITAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926729311",
            "telephone_number": "949-627-3272",
            "fax_number": "949-499-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 E MALLORY CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131413",
            "telephone_number": "949-627-3272",
            "fax_number": "949-499-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS WOUND CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "YETTER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-390-8436",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Mowery, NMD / ND
• Jennifer Frances Moynihan, FNP
• MRSC Az Mesa Master Tenant, LLC
• MRSC Az Mesa Master Tenant, LLC
• MRT Transportation LLC
• Edith Wakasa Msafiri, LAAC
• MSK Center of Mesa
• Msmancina Associates Arizona, PLLC
• Mtac Healthcare PLC
• Corrine Muccio, MS, BCBA

• Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.