CINCINNATI ADVANCED WOUND CARE PHYSICIANS, LLC (NPI# 1811303811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811303811 |
| Entity Type | Organization |
| Organization Name | CINCINNATI ADVANCED WOUND CARE PHYSICIANS, LLC |
| Practice Address |
11497 Springfield Pike Ste 5 Springdale OH 45246-3551 |
| Practice Telephone | 5133262040 |
| Practice Fax Number | 5137710241 |
| Mailing Telephone | 5133262040 |
| Mailing Fax Number | 5137710241 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | WAHEED ADEUMI (OWNER) |
| Authorized Official Telephone | 5133262040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY MEDICAL CLINICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
| Street Address |
11497 SPRINGFIELD PIKE STE 5 |
| City | SPRINGDALE |
| State | OH |
| Zip Code | 45246-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098734 | Gateway Medical Clinics, LLC | Clinic/Center | 11497 Springfield Pike Ste 5, Springdale, OH 45246-3551 | 2007-08-15 |
| 1730721101 | Tawana Julius | Student in an Organized Health Care Education/Training Program | 11497 Springfield Pike Ste 5, Springdale, OH 45246-3551 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932636198 | Lindsay Joy Lupton | Registered Nurse | 7043 W Law Rd, Valley City, OH 44280-9509 | 2017-05-18 |
| 1881918993 | Sharon Lyn Barton | Registered Nurse | 3860 Arlind St. Nw, Uniontown, OH 44685 | 2010-03-18 |
| 1093950255 | Renae Elizabeth Obedisco | Registered Nurse | 3333 Lincoln Ave, Parma, OH 44134-1228 | 2008-12-02 |
| 1184892879 | Debbie L Farrington | Registered Nurse | 30020 State Route 31, Richwood, OH 43344-9326 | 2008-02-14 |
| 1467630590 | Judit K. Palotai | Registered Nurse | 4432 Palm Ave, Lorain, OH 44055-3553 | 2008-01-31 |
| 1003874090 | Prity S Vaidya | Registered Nurse | 295 Glessner Ave 3rd Fl, Mansfield, OH 44903-2270 | 2006-05-02 |
| 1134184559 | Alpha Wound Care,llc | Registered Nurse | 3363 Spyglass Rdg, Hamilton, OH 45013-8404 | 2006-04-19 |
| 1255896023 | James Milton Gray II | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-02-06 |
| 1316496672 | Amanda Leigh Tartaglia | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2016-09-28 |
| 1316349665 | Jill Michalak | Registered Nurse | 5871 Monclova Rd, Maumee, OH 43537-1839 | 2014-09-18 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 45246 |
Please comment or provide details below to improve the information on CINCINNATI ADVANCED WOUND CARE PHYSICIANS, LLC.
| 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.