MOBILE WOUND CONSULTANTS II INC. (NPI# 1083994149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083994149 |
| Entity Type | Organization |
| Organization Name | MOBILE WOUND CONSULTANTS II INC. |
| Practice Address |
123 Powderhorn Ln Media PA 19063-4520 |
| Practice Telephone | 4846865409 |
| Practice Fax Number | 6106164276 |
| Mailing Telephone | 4846865409 |
| Mailing Fax Number | 6106164276 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Authorized Official Name | THERESA B BRADY (PRESIDENT) |
| Authorized Official Telephone | 4846865409 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Street Address |
123 POWDERHORN LN |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1205272127 | Lily Tung | Surgery | 51 N. 39th Street, Suite 120, Philadelphia, PA 19104 | 2013-05-18 |
| 1073741484 | Joseph S Fernandez-moure | Surgery | 51 N 39th St Rm 120, Philadelphia, PA 19104 | 2009-06-24 |
| 1790913267 | Lourdes Castanon | Surgery | 2570 Haymaker Rd Ste 304, Monroeville, PA 15146-3513 | 2009-06-23 |
| 1508873126 | James Reilly | Surgery | 915 Lawn Ave Ste 203, Sellersville, PA 18960-1551 | 2006-08-03 |
| 1992729032 | Lexington Surgical | Surgery | 1701-12th Avenue, Bldg D, Altoona, PA 16602 | 2006-07-26 |
| 1750338166 | Donnelle L. Crouse | Surgery | 3685 Leah Dr, Emmaus, PA 18049-1560 | 2006-05-30 |
| 1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
| 1336117357 | Karyn L Butler | Surgery | 1245 Highland Ave Ste 302, Abington, PA 19001 | 2006-03-08 |
| 1285609404 | Ehyal Shweiki | Surgery | 1100 Walnut Street, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2006-02-21 |
| 1619971223 | Russell Dumire | Surgery | 1086 Franklin Street, Ground Floor Good Samaritan Bldg., Johnstown, PA 15905 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
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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.