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PRO-ACTIVE WOUND CARE CLINICS LLC NPI 1467485813


NPI Information

NPI: 1467485813
Provider Name: PRO-ACTIVE WOUND CARE CLINICS LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5920 WILCOX PL
SUITE E
DUBLIN, OH
ZIP 43016
Phone: (614) 336-3838
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PRO-ACTIVE WOUND CARE CLINICS LLC is a foot and ankle surgery podiatrist in Dublin, OH. PRO-ACTIVE WOUND CARE CLINICS LLC NPI is 1467485813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5920 WILCOX PL
SUITE E
DUBLIN, OH
ZIP 43016-802
Phone: (614) 336-3838
Fax: (614) 336-3933

The provider's authorized official is Kyle E Hoogendoorn .
The authorized official title is Owner and has the following contact phone number (614) 366-3838.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12468986MEDICAIDOHIO
25052040001MEDICARE NSCOHIO
39342731MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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