Active NPI
Wound Care Zone PLLC
- Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1821899279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- WOUND CARE ZONE PLLC
- Practice address
- 600 Broadway Ave NW Apt 423
Grand Rapids, MI 49504-7324 - Phone
- (616) 606-0703
- Fax
- (616) 552-8656
- NPI assigned
- Mar 21, 2025
- 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
- Eric Kreckman, PA
- Title
- President
- Phone
- (989) 492-0492
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
600 Broadway Ave NW Apt 423
Grand Rapids, MI 49504-7324
Mailing address
600 Broadway Ave NW Apt 423
Grand Rapids, MI 49504-7324
Phone (616) 606-0703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Gladwin, MI
- NPI 1538599733
-
- Surgery Physician
- Clare, MI
- NPI 1972768711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1821899279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BROADWAY AVE NW APT 423",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495047324",
"telephone_number": "616-606-0703",
"fax_number": "616-552-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROADWAY AVE NW APT 423",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495047324",
"telephone_number": "616-606-0703",
"fax_number": "616-552-8656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE ZONE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-21",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "KRECKMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-492-0492",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.