WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC (NPI# 1417193681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417193681 |
| Entity Type | Organization |
| Organization Name | WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC |
| Practice Address |
10500 Montgomery Rd Cincinnati OH 45242-4402 |
| Mailing Address |
Po Box 643911 Cincinnati OH 45264-3911 |
| Practice Telephone | 5138651111 |
| Practice Fax Number | 5135573329 |
| Mailing Telephone | 5135573330 |
| Mailing Fax Number | 5135573329 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | ARTI BALAR MASTURZO (OWNER) |
| Authorized Official Telephone | 5135573330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-082412 | OH | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
35-082412 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2993891 | 05 | |
| KY | 7100118600 | 05 | |
| KY | 64096233 | 05 |
| Street Address |
10500 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647261 | Larissa Marie Kahle | Physician Assistant | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2005-05-24 |
| 1881221943 | Talia Kordahi | Student in an Organized Health Care Education/Training Program | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-03-26 |
| 1598392664 | Nathaniel Gastaldo | Student in an Organized Health Care Education/Training Program | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-03-26 |
| 1205460813 | Amanda Denise La Favers | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-02-24 |
| 1629600028 | Jonathan Woody | Emergency Medicine | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-02-04 |
| 1326687872 | Brandi Harris | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-01-02 |
| 1134767908 | Elizabeth Phillips | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-12-12 |
| 1104464825 | Megan Wilkins | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-12-12 |
| 1508400946 | Laura Rihm Miele | Nurse Practitioner | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-10-29 |
| 1508408329 | Alexander Christopher Gray | Pharmacist | 10500 Montgomery Rd, Cincinnati, OH 45242 | 2019-10-14 |
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|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285094359 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2016-03-02 |
| 1457711152 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | 2016-02-24 |
| 1205152428 | Midwest Hyperbaric Physicians Inc | Preventive Medicine | 4000 Miamisburg Centerville Rd, Suite 103, Miamisburg, OH 45342-7615 | 2010-04-13 |
| 1043255060 | Arthur Peter Dick | Preventive Medicine | 14601 Detroit Ave, Suite 480, Lakewood, OH 44107-4214 | 2006-06-17 |
| 1992793947 | William Harold Dickhoner | Preventive Medicine | 1010 Cereal Ave, Hamilton, OH 45013-2784 | 2005-10-12 |
| City | CINCINNATI |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC.
| 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.