Wound Care Medical Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WOUND CARE MEDICAL ASSOCIATES PC

Practice address

1500 Portland Ave
Rochester, NY 14621-3065

Phone

(585) 922-4325

NPI assigned

Jun 21, 2017

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adelaida Samuels

Title

Director

Phone

(585) 697-6337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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.

• Rebecca Conklin, D.O.

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1437545936
  Medicare reassignment Care Compare group NPD
• Christa Heinsler, ANP

  • Adult Health Nurse Practitioner
  • Rochester, NY
  • NPI 1588838387
  Medicare reassignment Care Compare group NPD
• Dina Marie Rotoli, N.P.

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1659380327
  Medicare reassignment Care Compare group NPD
• Kim Zurat, NP

  • Nurse Practitioner
  • Rochester, NY
  • NPI 1376516781
  Medicare reassignment Care Compare group NPD
• John Ellie Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rochester, NY
  • NPI 1427311455

  Single Specialty

  Medicare reassignment NPD
• Kim K Petrone, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1518946599
  Medicare reassignment NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1770003857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PORTLAND AVENUE",
            "address_2": "ATTENTION WOUND CENTER MEDICAL ASSOCIATES",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213065",
            "telephone_number": "585-922-4325",
            "fax_number": "585-413-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213065",
            "telephone_number": "585-922-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ADELAIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-697-6337"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Letae Wortham-Coston, RN
• Julie Lynn Worthington, PA-C
• Kenisha Worthy
• Shannon M Woughter, PA-C
• Zachary Paul Woughter, PA
• Sarah A Woychick
• Melanie R Woytowish, PHARM.D.
• Shaula Woz, MD
• Gabriella Helena Wozniak, DO
• Elizabeth Mae Wranovics, RN

• Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.