ADVANCED WOUND CARE CORPORATION (NPI# 1942276761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942276761 |
| Entity Type | Organization |
| Organization Name | ADVANCED WOUND CARE CORPORATION |
| Practice Address |
649 Crandall Dr State College PA 16803-1212 |
| Practice Telephone | 8142387969 |
| Mailing Telephone | 8142387969 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARSHA STUYVESANT (PRESIDENT) |
| Authorized Official Telephone | 8142387969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
649 CRANDALL DR |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| 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 |
|---|---|---|---|---|
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1164549184 | Compression Management Services, Inc. | Durable Medical Equipment & Medical Supplies | 2766 W College Ave, Suite 3, State College, PA 16801-2647 | 2007-03-23 |
| 1043309784 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1927 South Atherton Street, Hills Plaza, State College, PA 16801-7606 | 2006-10-12 |
| 1467551705 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 510 Westerly Parkway, State College, PA 16801-5905 | 2006-09-22 |
| 1861591125 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1536 North Atherton Street, State College, PA 16803-3041 | 2006-09-22 |
| 1033217641 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1101 N Atherton St, State College, PA 16803-2927 | 2006-09-20 |
| 1871503714 | Dicks Home Care Inc | Durable Medical Equipment & Medical Supplies | 1300 Benner Pike, Ste 3, State College, PA 16801-7325 | 2006-08-09 |
| 1992727622 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 315 Colonnade Blvd, State College, PA 16803-2321 | 2006-07-24 |
| 1013934173 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 373 Benner Pike, State College, PA 16801-7304 | 2006-07-16 |
| 1134146285 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1665 N Atherton St, State College, PA 16803-1417 | 2006-07-16 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on ADVANCED WOUND CARE CORPORATION.
| 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.