Wound Recovery Institute

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WOUND RECOVERY INSTITUTE

Practice address

4520 Executive Dr Ste 105
San Diego, CA 92121-3019

Phone

(601) 265-1494

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Michael Stewart, MDNPI 1134333255

Title

Owner

Phone

(601) 265-1494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, LA, UT, FL, ID5 enrollments

Enrollment records 5

Locations

Practitioners 4

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

• Michael A. Stewart, M.D.

  • Surgery Physician
  • Brookhaven, MS
  • NPI 1134333255

  FL, ID, LA

  Medicare reassignment NPD Authorized official
• Farid Brad Mozaffari, MD

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1639290075

  FL

  Medicare reassignment NPD
• Ashley W Bennett, MD

  • Surgery Physician
  • Boise, ID
  • NPI 1326252545
  Medicare reassignment NPD
• Russel N Smith III, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1184685158

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1952190126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 D A BIGLANE DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213019",
            "telephone_number": "601-265-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-265-1494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard M. Worthen, M.D.
• George Barrow Worthington III, PHD
• Karlee Ione Wostrel, M.A.
• Jocelyn Hoffman Woudstra, NP
• Wound Care Solutions
• Manjulika Shahani Woytowitz, M.D.
• Paul Richard Wozniak Jr., M.D.
• Spencer Wozniak, BS
• Adella Nicole Wraith
• Elizabeth Rose Wrape, PH.D.

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.