Wound Pros North Carolina

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOUND PROS NORTH CAROLINA

Practice address

5960 Fairview Road
Suites 300 & 400
Charlotte, NC 28210-3102

Phone

(310) 496-5844

Fax

(323) 433-9177

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ayodele Otiko, DPM

Title

President

Phone

(818) 836-2475

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1942824719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 500",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926636",
            "telephone_number": "818-836-2475",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW ROAD",
            "address_2": "SUITES 300 & 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103102",
            "telephone_number": "310-496-5844",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROS NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-836-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wortham-Oyach
• Mark David Worthen, PSYD
• Christine Ann Worthy, NP
• Wotp Programs Inc
• Wotp Programs, Inc.
• Wound Recovery PLLC
• Woven Hearts Counseling PLLC
• Laura Elizabeth Woyahn, CRNA
• Tanya Y. Wozniak, CCC-SLP
• WP-Charlotte Al Holdings, LLC (Queen City Assisted Living)

• General Practice Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.