WOUND CARE PLUS, LLC


Address: 1100 Nw South Outer Rd Ste 200, Blue Springs, MO 64015-3069
Phone: 8882563814

WOUND CARE PLUS, LLC (NPI# 1841657053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841657053
Entity Type Organization
Organization Name WOUND CARE PLUS, LLC
Practice Address 1100 Nw South Outer Rd Ste 200
Blue Springs
MO 64015-3069
Practice Telephone 8882563814
Practice Fax Number 8882569054
Mailing Telephone 8882563814
Mailing Fax Number 8882569054
Enumeration Date 2016-01-19
Last Update Date 2020-06-01
Authorized Official Name MARTHA R KELSO (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8882563814
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WW0000X Registered Nurse
Specialization: Wound Care
Nursing Service Providers
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
Y 174400000X Specialist Other Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities WOUND CARE PLUS, LLC 210 Ne Tudor Rd, Lees Summit, MO 64086
System for Award Management (SAM) Entities WOUND CARE PLUS, LLC 210 Ne Tudor Rd, Lees Summit, MO 64086-5696

Office Location

Street Address 1100 NW SOUTH OUTER RD STE 200
City BLUE SPRINGS
State MO
Zip Code 64015-3069

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1578847547 Shannon J Hattey Pharmacist 1701 Nw 7 Hwy, Blue Springs, MO 64015 2011-10-07
1497937676 Michael Ray Pardun Chiropractor 3650 W Hwy 40, Blue Springs, MO 64015 2007-11-29
1437374337 Clinton Earl Thomas Counselor 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 2007-04-16
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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NPI Name Taxonomy Address Enumeration
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1144221029 Eliska C Webster Specialist 100 Nw Mock Ave, Ste 200, Blue Springs, MO 64014 2005-08-02
1487657284 Terry V. Morris Specialist 206 Nw Mock Ave, Suite 200, Blue Springs, MO 64014-2507 2005-05-24
1720355159 J Anthony Woltjen, Md, PC Specialist 100 Nw Mock Ave, Suite 101, Blue Springs, MO 64014-2501 2011-11-30
1669500815 George M. Austin, M.d. Inc. Specialist 206 Nw Mock Ave, Suite 200, Blue Springs, MO 64014-2507 2007-03-01
1336143296 George M Austin Specialist 206 Nw Mock Ave, Ste 200, Blue Springs, MO 64014-2530 2005-06-09

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1376011007 Lashonda S Wash Specialist 222 Bruce Ave, Saint Louis, MO 63135-2704 2018-11-12
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1306326061 Sleek Barber & Beauty Salon Specialist 13220 New Halls Ferry Rd, Florissant, MO 63033-3231 2018-08-21
1760973697 Angela Haas Specialist 1361 Childress Ave, Saint Louis, MO 63139-3451 2018-05-26
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Competitor

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City BLUE SPRINGS
Zip Code 64015

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Dataset Information

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.

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