WOUND PROS MICHIGAN (NPI# 1851915623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851915623 |
| Entity Type | Organization |
| Organization Name | WOUND PROS MICHIGAN |
| Practice Address |
400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 |
| Mailing Address |
4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 |
| Practice Telephone | 8188362475 |
| Practice Fax Number | 3234339177 |
| Mailing Telephone | 8188362475 |
| Mailing Fax Number | 3234339177 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DR. CHRISTOPHER OTIKO (PRESIDENT) |
| 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 |
400 RENAISSANCE CTR STE 2600 |
| City | DETROIT |
| State | MI |
| Zip Code | 48243-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558698613 | Nutrition Enterpirses | Nutritionist | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2009-11-11 |
| 1629679972 | Christian M Roberson | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-11-03 |
| 1275130882 | Amber Shaw | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-10-06 |
| 1841897766 | Lindsay Ann Pluta | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-10-04 |
| 1326651217 | Laura Morillo | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-08-28 |
| 1881204220 | Mathrine Marquis | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-31 |
| 1740899269 | Andrew Zamora | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-30 |
| 1255940557 | Carmen Watts | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-23 |
| 1477161479 | Olivia Rose Collins | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-16 |
| 1417576471 | Ride Ready Transportation LLC | Non-emergency Medical Transport (VAN) | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055424 | Aeos Care Mi, Inc. | In Home Supportive Care | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-03-06 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1245786029 | Elissa Karstu | Chiropractor | 600 Tower Level 1, Renaissance Center, Detroit, MI 48243 | 2016-08-31 |
| 1730664202 | Aeos Care Mi, Inc. | Durable Medical Equipment & Medical Supplies | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-10-01 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1902370919 | Athletico Ltd | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-01-14 |
| 1194366781 | Hillary Menestrina | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-10-04 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1922428887 | P-cor, LLC | Eyewear Supplier (Equipment, not the service) | 400 Renaissance Ctr Ste 1402, Detroit, MI 48243-1502 | 2014-04-18 |
| 1093090359 | Elyse Wiseman Bradford | Behavioral Analyst | 400 Renaissance Ctr, Suite 2600, Detroit, MI 48243-1502 | 2011-10-19 |
| Find all providers in zip 48243 | ||||
| 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 |
|---|---|---|---|---|
| 1720600463 | Milk Moves LLC | Durable Medical Equipment & Medical Supplies | 18032 James Couzens Fwy, Detroit, MI 48235-2646 | 2020-05-15 |
| 1013540202 | Panacea Therapeutic Solutions LLC | Durable Medical Equipment & Medical Supplies | 3815 W Fort St Ste 207, Detroit, MI 48216-1652 | 2020-02-17 |
| 1023663366 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 660 Woodward Ave Ste 100rx, Detroit, MI 48226-3516 | 2019-08-05 |
| 1235693714 | Manely Yours LLC | Durable Medical Equipment & Medical Supplies | 5525 Lenox St, Detroit, MI 48213-3563 | 2019-01-29 |
| 1306310594 | Dan Miller | Durable Medical Equipment & Medical Supplies | 1001 Woodward Ave Ste 500, Detroit, MI 48226-1920 | 2019-01-22 |
| 1467943852 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2018-05-22 |
| 1811488281 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6001 W Outer Dr Ste 110, Detroit, MI 48235 | 2018-05-22 |
| 1063903458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4201 Saint Antoine St Ste 2m, Detroit, MI 48201-2153 | 2018-05-22 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1548768609 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 6071 W Outer Dr Ste M106, Detroit, MI 48235-2624 | 2018-01-24 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on WOUND PROS MICHIGAN.
| 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.