Wound Care Clinics of America PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

5101007418 Issued in MI

Legal business name

WOUND CARE CLINICS OF AMERICA PC

Practice address

24111 Southfield Rd
Southfield, MI 48075-2841

Phone

(248) 557-8800

Fax

(248) 557-8860

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Victor Ubom

Title

Owner DO

Phone

(248) 557-8800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1922266808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752841",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24111 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752841",
            "telephone_number": "248-557-8800",
            "fax_number": "248-557-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CLINICS OF AMERICA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "UBOM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER DO",
        "authorized_official_telephone_number": "248-557-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101007418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306404811",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0658216575",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheleth Woolen, L.M.T.
• Makayla Lynn Worden
• World Medical Relief, Inc.
• Worthem Family Practice
• Fredrick Worthem, TLLP
• Wound Care Clinics of America, P.C.
• Ashley Marie Wozniak, RD, CSG
• Samantha Wray
• Wright Home Care LLC
• Teniesha Nicole Wright-Jones, DO

• Vascular Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.