Organization Active NPI

Marines Mobile Wound Care LLC

  • Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1952124984
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MARINES MOBILE WOUND CARE LLC
Practice address
15014 W Windsor Ave
Goodyear, AZ 85395-8955
Phone
(480) 953-1143
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Eric Mosokobe Ogari, NPNPI 1316420631
Title
Member Manager
Phone
(480) 953-1143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

15014 W Windsor Ave
Goodyear, AZ 85395-8955

Mailing address

15014 W Windsor Ave
Goodyear, AZ 85395-8955
Phone (480) 953-1143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1952124984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15014 W WINDSOR AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958955",
            "telephone_number": "480-953-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15014 W WINDSOR AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958955",
            "telephone_number": "480-953-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINES MOBILE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "OGARI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MOSOKOBE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-953-1143",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.