Organization Active NPI

Wound Care Innovations of Golfland, PLLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Pinehurst, NC
National Provider Identifier
1891106860
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
200400768 Issued in NC
Legal business name
WOUND CARE INNOVATIONS OF GOLFLAND, PLLC
Practice address
35 Memorial Dr
Pinehurst, NC 28374-8708
Phone
(910) 715-5904
NPI assigned
May 13, 2014
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Christine Nierzwicki
Title
Manager
Phone
(414) 858-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 200400768 NC Primary

Addresses

Primary practice location

35 Memorial Dr
Pinehurst, NC 28374-8708

Mailing address

10625 W North Ave Ste 101
PO Box 26428
Milwaukee, WI 53226-2315
Phone (414) 858-2208

National Provider Directory

National Provider Directory

Locations

10625 W North Ave
Ste 101
Wauwatosa, WI 53226
Phone (414) 858-2200

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1891106860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 101",
            "address_2": "PO BOX 26428",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-858-2208",
            "fax_number": "414-858-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE INNOVATIONS OF GOLFLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "NIERZWICKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-858-2208"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "200400768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.