Advanced Wound Care Specialists PC
Organization Active NPI Internal Medicine Physician · Caro, MI
NPI 1932082203 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1932082203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVANCED WOUND CARE SPECIALISTS PC
- Practice address
- 1800 W Caro Rd
Caro, MI 48723-8209 - Phone
- (989) 625-8399
- NPI assigned
- Jul 25, 2025
- Organization subpart
- No
Authorized official
- Name
- Tyler Stout
- Title
- Director
- Phone
- (337) 315-7927
Practitioners 8
-
Stephanie Jean Bloye, FNP-C
-
Alexandria Conner, PA-C
-
Emily McCullen, PA-C
-
Heather Metz, AGNP-C
-
Melissa Marie Outman, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260122003612 | MI | Part B Supplier - Clinic/Group Practice | 5395222178 |
Receives reassigned benefits from 7 practitioners Practice locations: Caro, MI |
National Provider Directory
Locations
1800 W Caro Rd
Ste 12
Caro, MI 48723
Phone (248) 894-7024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1800 W Caro Rd
Caro, MI 48723-8209
Mailing address
1800 W Caro Rd
Caro, MI 48723-8209
Phone (989) 625-8399
Other providers in Caro, MI
- Mutee Husein Abdeljaber
- Cherie Acker
- Advanced Pain Management of Caro PC
- Advanced Wound Care of Caro PC
- Advanced Wound Care of PA
- Yong Ja Ahadi
- Ahmed M Aly
- Hussam Ammar
- Norbert O Anderson
- Farrukh Anwar
All providers in Caro, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.