TBK Wound Management LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35061405 Issued in OH

Legal business name

TBK WOUND MANAGEMENT LLC

Practice address

4449 Easton Way
2ND Floor
Columbus, OH 43219-6093

Phone

(330) 519-5005

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Seung Kwon Lee

Title

President

Phone

(330) 519-5005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1942594254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY",
            "address_2": "2ND FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY",
            "address_2": "2ND FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196093",
            "telephone_number": "330-519-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBK WOUND MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEUNG KWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-519-5005"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35061405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.