WOUND PROS UTAH (NPI# 1649885096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649885096 |
| Entity Type | Organization |
| Organization Name | WOUND PROS UTAH |
| Practice Address |
6975 Union Park Avenue Suite 600 Cottonwood Heights UT 84047 |
| Mailing Address |
4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 |
| Practice Telephone | 3104965844 |
| Practice Fax Number | 3234339177 |
| Mailing Telephone | 8188362475 |
| Mailing Fax Number | 3234339177 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | CHRISTOPHER AYODELE 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 |
6975 UNION PARK AVENUE SUITE 600 |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| 1124404322 | Reuben Leon Clark | Dentist | 655 West Center Street, Midvale, UT 84047 | 2015-08-11 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1578726832 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2008-07-08 |
| 1235232588 | Ortho-med Center, Inc. | Durable Medical Equipment & Medical Supplies | 2242 Fort Union Boulevard, Suite A4 & A5, Cottonwood Heights, UT 84121-5551 | 2006-09-05 |
| 1619960663 | Jq Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6910 Highland Dr, Suite 4, Cottonwood Heights, UT 84121-3060 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285205 | Utah Diabetic Supply | Durable Medical Equipment & Medical Supplies | 106 W Winchester St # 50, Murray, UT 84107-7713 | 2020-11-02 |
| 1740880012 | Castle Arch, LLC | Durable Medical Equipment & Medical Supplies | 596 W 750 S # 310c, Bountiful, UT 84010-7268 | 2020-10-27 |
| 1235736059 | Uintah Basin Medical Center | Durable Medical Equipment & Medical Supplies | 625 W 500 N, Vernal, UT 84078-8319 | 2020-10-05 |
| 1700483567 | Cranio Ninja LLC | Durable Medical Equipment & Medical Supplies | 975 N Main St Ste 3a, Layton, UT 84041-2200 | 2020-10-05 |
| 1861009052 | Appy Medical, LLC | Durable Medical Equipment & Medical Supplies | 8789 South Redwood Road Bld 4, Ste 250, West Jordan, UT 84088-5748 | 2020-09-30 |
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1497381917 | Alpha Medical Supply & Distributing | Durable Medical Equipment & Medical Supplies | 3132 W 7670 S, West Jordan, UT 84084-2867 | 2020-03-16 |
| 1679111405 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 321 E State Rd Ste 1, American Fork, UT 84003-2275 | 2019-12-11 |
| 1639713993 | Desert Arch, LLC | Durable Medical Equipment & Medical Supplies | 4722 Bountiful Ridge Dr, Bountiful, UT 84010-5888 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84047 |
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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.