MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC (NPI# 1346549409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346549409 |
| Entity Type | Organization |
| Organization Name | MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC |
| Practice Address |
24111 Southfield Rd Southfield MI 48075-2841 |
| Practice Telephone | 2485578800 |
| Practice Fax Number | 2485578860 |
| Mailing Telephone | 2485578800 |
| Mailing Fax Number | 2485578860 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-10-18 |
| Authorized Official Name | DR. VICTOR O UBOM (OWNER) |
| Authorized Official Telephone | 2485578800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704217515 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4704154415 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4704248242 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101007418 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174822233 | Michigan Wound Care and Hyperbaric Institute PC | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2011-03-15 |
| Street Address |
24111 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861437410 | Annette L Wahl | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2817 | 2006-06-18 |
| 1851855845 | Chinyere Mercy Mbamah | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2019-01-24 |
| 1043763477 | Joy Besiime | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2016-08-02 |
| 1568843811 | Care First Group Living & In Home Services, Inc. | In Home Supportive Care | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2015-06-12 |
| 1417361502 | Victoria Dene Clark | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2014-06-17 |
| 1932525524 | Toyia Novak | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2014-03-06 |
| 1427471291 | Alishia Harris-diouf | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2014-01-29 |
| 1437583465 | Hardev Kaur Shergill | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2013-08-27 |
| 1548514177 | Sarah Collins | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2012-11-05 |
| 1174822233 | Michigan Wound Care and Hyperbaric Institute PC | Nurse Practitioner | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| 1083672968 | Marc Gregory Webb | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2006-05-02 |
| 1447878160 | Usa Vein Clinics of Detroit Pllc | Surgery | 29984 Telegraph Rd, Southfield, MI 48034-1355 | 2020-07-09 |
| 1235442732 | Pritham P. Reddy, Pllc | Surgery | 22250 Providence Drive, Suite #555, Southfield, MI 48152 | 2010-07-26 |
| 1922266808 | Wound Care Clinics of America PC | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2008-05-28 |
| 1609077783 | Michigan Vascular Access, PC | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2007-05-29 |
| 1134332919 | Pritham Pingli Reddy | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2007-05-08 |
| 1215967872 | John W Sealey | Surgery | 16250 Northland Dr, Suite 310, Southfield, MI 48075-5205 | 2006-07-03 |
| 1235165770 | Victor Ubom | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2817 | 2006-06-25 |
| 1679525539 | Tamer Nady Boules | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2006-05-17 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MICHIGAN WOUND CARE AND HYPERBARIC INSTITUTE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.