WOUND SPECIALISTS OF MICHIGAN, P.L.L.C. (NPI# 1063592350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063592350 |
| Entity Type | Organization |
| Organization Name | WOUND SPECIALISTS OF MICHIGAN, P.L.L.C. |
| Practice Address |
2900 Golfside Dr Suite 4 Ann Arbor MI 48108-1410 |
| Practice Telephone | 8666455578 |
| Practice Fax Number | 8885280919 |
| Mailing Telephone | 8666455578 |
| Mailing Fax Number | 8885280919 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-18 |
| Authorized Official Name | FRANK BONGIORNO (OWNER) |
| Authorized Official Telephone | 8666455578 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301060835 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4281939 | 05 |
| Street Address |
2900 GOLFSIDE DR SUITE 4 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003840844 | Said M Issa | Ophthalmology | 2900 Golfside Dr, Suite 2, Ann Arbor, MI 48108-1410 | 2006-07-10 |
| 1356790422 | Transmed Mobility | Home Health | 2900 Golfside Dr, Suite #6, Ann Arbor, MI 48108-1410 | 2016-06-08 |
| 1114158722 | Sharad B Patel | Anesthesiology | 2900 Golfside Dr, Suite-2, Ann Arbor, MI 48108-1410 | 2009-07-30 |
| 1841478617 | Ann Arbor Therapeutic Massage Clinic | Mechanotherapist | 2900 Golfside Dr, Ste.4, Ann Arbor, MI 48108-1410 | 2008-02-04 |
| 1013005776 | Daniel Francis O'toole | Dentist | 2900 Golfside Dr, Suite 7, Ann Arbor, MI 48108-1410 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740509264 | Carolyn M Parma | Surgery | 3303 Cancer Center, Ann Arbor, MI 48109-5932 | 2010-05-24 |
| 1598990467 | Christa Nicole Grant | Surgery | 1540 E Hospital Drive, Mott 4-933, Ann Arbor, MI 48109-4211 | 2009-05-21 |
| 1336384916 | Jerry C Rosenberg | Surgery | 1055 Young Pl, Ann Arbor, MI 48105-2587 | 2008-12-10 |
| 1235238650 | Vincent M Cimmino | Surgery | 1500 East Medical Ctr Dr, B1 Floor Cancer & Geriatrics Ctr Recp E, Ann Arbor, MI 48109-5916 | 2006-09-22 |
| 1881796118 | George Boris Mychaliska | Surgery | 1500 E Medical Center Dr Fl 4, Ann Arbor, MI 48109-5000 | 2006-09-05 |
| 1013019330 | Steven W Bruch | Surgery | 1500 East Medical Center Dr., 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 | 2006-09-05 |
| 1811922263 | Regents of The University of Michigan Pediatric Surgery Offsite | Surgery | 5301e Huron River Dr, Ann Arbor, MI 48109 | 2006-07-12 |
| 1568435980 | William Robert Lynch | Surgery | 380 Parkland Plz, Ann Arbor, MI 48103-6201 | 2006-02-08 |
| 1407464258 | Habib Jabagi | Surgery | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-07-17 |
| 1730648890 | Matthew Valdis | Surgery | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-03-18 |
| Find all providers in ANN ARBOR | ||||
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| 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.