PRO-ACTIVE WOUND CARE CLINICS LLC (NPI# 1467485813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467485813 |
Entity Type | Organization |
Organization Name | PRO-ACTIVE WOUND CARE CLINICS LLC |
Practice Address |
5920 Wilcox Pl Suite E Dublin OH 43016-6802 |
Practice Telephone | 6143363838 |
Practice Fax Number | 6143363933 |
Mailing Telephone | 6143363838 |
Mailing Fax Number | 6143363933 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-11-29 |
Authorized Official Name | KYLE E HOOGENDOORN (OWNER) |
Authorized Official Telephone | 6143663838 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2468986 | 05 |
Street Address |
5920 WILCOX PL SUITE E |
City | DUBLIN |
State | OH |
Zip Code | 43016-6802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932483955 | Southland Hearing Aids & Audiology, LLC | Audiologist | 5920 Wilcox Pl, Suite B, Dublin, OH 43016-6802 | 2011-10-10 |
1235444803 | Laura Christine Gran | Speech-Language Pathologist | 5920 Wilcox Pl, Suite E, Dublin, OH 43016-6802 | 2010-08-08 |
1174838734 | Beginning Kids Adventures | Speech-Language Pathologist | 5920 Wilcox Pl, Suite E, Dublin, OH 43016-6802 | 2010-08-07 |
1912143512 | Kellie Elizabeth Green | Speech-Language Pathologist | 5920 Wilcox Pl, Suite E, Dublin, OH 43016-6802 | 2009-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851862403 | Physicians Wellness Group LLC | Family Medicine | 6275 Emerald Parkway, Dublin, OH 43016 | 2018-12-07 |
1336670504 | Anita Zhang | Home Health Aide | 6731 Park Mill Dr, Dublin, OH 43016 | 2017-03-21 |
1356887277 | Michael Suplicki | Chiropractor | 6425 Post Rd., Suite 101, Dublin, OH 43016 | 2017-01-17 |
1881065902 | Lefebvre Eyecare LLC | Optometrist | 5752 Frantz Road, Dublin, OH 43016 | 2015-10-15 |
1770995508 | Michelle Martine Meyer | Nurse Practitioner | 7243 Sawmill Rd Ste 105, Dublin, OH 43016 | 2014-05-28 |
1386984730 | Psychological Sleep Services | Psychologist | 6500 Emerald Pkwy Ste 100, Dublin, OH 43016 | 2013-02-21 |
1760757629 | Allison K Loft | Nurse Practitioner | 7275 Sawmil Road, Dublin, OH 43016 | 2012-03-12 |
1851543821 | Mark Alan O'banion | Dentist | 6670 Perimeter Drive, Suite 250, Dublin, OH 43016 | 2008-10-21 |
1467617548 | Nicole Ashley Morgan | Home Health Aide | 3919 Dundrum Dr, Dublin, OH 43016 | 2008-07-28 |
1952578338 | Central Ohio Urology Group LLC | Urology | 7405 Hospital Drive, Suite 350, Dublin, OH 43016 | 2008-05-14 |
Find all providers in zip 43016 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467880021 | Nishi Kaur Dhanota Pabla | Podiatrist | 3100 Dublin Blvd., Kaiser, 3rd Floor, Department of Podiatry, Dublin, CA 94568 | 2013-10-17 |
1770739021 | Southwest Podiatry, P.C. | Podiatrist | 5270 Alexander Rd, Dublin, VA 24084-3650 | 2008-08-18 |
1164474011 | Eric Schubert | Podiatrist | 2875 Ravine Way, Dublin, OH 43017-3507 | 2006-05-17 |
1831490010 | Dublin Foot and Ankle | Podiatrist | 6850 Perimeter Dr, Suite B, Dublin, OH 43016-8051 | 2010-11-04 |
1326356403 | Danielle Rose Mckenna | Podiatrist | 6670 Perimeter Dr, Suite 240, Dublin, OH 43016-8056 | 2010-09-22 |
1447430566 | Eric K Schubert, Dpm, LLC | Podiatrist | 2875 Ravine Way, Dublin, OH 43017-3507 | 2007-11-06 |
1144429333 | Step Lively Foot and Ankle Centers Inc. | Podiatrist | 6670 Perimeter Dr, Suite 240, Dublin, OH 43016-8056 | 2007-07-17 |
1457302549 | Christeopher James Seymour | Podiatrist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
Find all providers with the same taxonomy |
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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.