Evolution Wound Management of PA PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EVOLUTION WOUND MANAGEMENT OF PA PC

Practice address

502 W 7TH St Ste 100
Erie, PA 16502-1333

Phone

(800) 914-3592

Fax

(800) 897-1470

NPI assigned

Oct 3, 2025

Last updated

Oct 3, 2025By 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

Joshua Alan Emdur, D.ONPI 1649218389

Title

PC Owner

Phone

(800) 914-3592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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.

• Joshua Alan Emdur, DO

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1649218389

  PA

  Medicare reassignment NPD Authorized official
• Justin William Kleppe, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1104619113

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1770457590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W 53RD ST APT 48E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197895",
            "telephone_number": "800-914-3592",
            "fax_number": "800-897-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "800-914-3592",
            "fax_number": "800-897-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION WOUND MANAGEMENT OF PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "EMDUR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "800-914-3592",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Evanoff-Jurkovic, D.O.
• Trinita Evans
• William Charles Evans III, ATC
• Kristen Everetts
• Everkind Home Care LLC
• Jacqueline R. Exley, DPT
• Extendicare Homes, Inc. (Abington Crest Nursing & Rehabilitation Center)
• Eyemart Express LLC
• Jude Onyeka Ezechukwu, MD
• Andrea Fadrigo

• Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.