Organization Active NPI

Midwest Wound Care Specialists LLC

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1871931519
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002068 Issued in OH
Legal business name
MIDWEST WOUND CARE SPECIALISTS LLC
Practice address
8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750
Phone
(513) 948-2344
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
James Lang
Title
President
Phone
(513) 288-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 50.002068 OH Primary

Addresses

Primary practice location

8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750

Mailing address

1 Riverfront PL FL 6
Newport, KY 41071-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130812000170 OH Part B Supplier - Clinic/Group Practice 7416199096 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH; Middletown, OH; Dayton, OH; Fairfield, OH; Hamilton, OH; Kettering, OH; Loveland, OH; Monroe, OH…

National Provider Directory

National Provider Directory

Locations

6210 Cleves Warsaw Pike
Cincinnati, OH 45233
Phone (513) 941-0099

3889 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 793-5222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1871931519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PL FL 6",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410714572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 EVERGREEN RIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155750",
            "telephone_number": "513-948-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WOUND CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-288-8445"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.