WOUND PROS OHIO (NPI# 1669010302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010302 |
| Entity Type | Organization |
| Organization Name | WOUND PROS OHIO |
| Practice Address |
6100 Oak Tree Blvd Ste 200 Independence OH 44131-6914 |
| Mailing Address |
4640 Admiralty Way Ste 500 Marina Dl Rey CA 90292-6636 |
| Practice Telephone | 8188362475 |
| Practice Fax Number | 3234339177 |
| Mailing Telephone | 8188362475 |
| Mailing Fax Number | 3234339177 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | CHRISTOPHER AYODELE OTIKO (OWNER) |
| Authorized Official Telephone | 8188362475 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
6100 OAK TREE BLVD STE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760863419 | Amanda Petric | Social Worker | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2015-06-17 |
| 1689229379 | Kelsey Joan Armentrout | Counselor | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2019-08-08 |
| 1851879134 | Sally Galanti | Psychologist | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2018-07-30 |
| 1912420019 | Avril Charlette Sargeant | Counselor | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1649683368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3411 S Noland Rd, Independence, MO 64055-1319 | 2014-06-10 |
| 1063830461 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 19550 E 39th St S Ste 115, Independence, MO 64057-2329 | 2014-04-02 |
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1346588464 | Be Savvy Beauty Supply | Durable Medical Equipment & Medical Supplies | 3800 S Elizabeth St Ste H, Independence, MO 64057-2652 | 2013-01-24 |
| 1972730737 | Lainey Medical L.L.C. | Durable Medical Equipment & Medical Supplies | 16650 E Us Highway 40, Suite C, Independence, MO 64055-5327 | 2009-06-18 |
| 1538309620 | Gary Nickel, Od, Pa | Durable Medical Equipment & Medical Supplies | 404 N 14th St, Independence, KS 67301-2909 | 2009-03-02 |
| 1518157049 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17844 E 23rd St S Ste D404, Independence, MO 64057-1840 | 2007-07-31 |
| 1669662631 | Tromar Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 312 West 4th Street, Independence, LA 70443 | 2007-07-26 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on WOUND PROS OHIO.
| 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.