| Mobile Wound Healing Llc | |
|
6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 | |
| (614) 516-6980 | |
| Not Available |
| Full Name | Mobile Wound Healing Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6371 Riverside Dr Ste 1100, Dublin, Ohio |
| Authorized Official Name and Position | Megan Calabria (MANAGER) |
| Authorized Official Contact | 4406672902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Wound Healing Llc 6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 Ph: () - | Mobile Wound Healing Llc 6371 Riverside Dr Ste 1100 Dublin OH 43017-5446 Ph: (614) 516-6980 |
| NPI Number | 1447013511 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 6204275514 |
|---|---|
| Medicare Enrollment ID | O20240419001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447013511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Louis Leo Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366439325 PECOS PAC ID: 9335124825 Enrollment ID: I20040621000002 |
| Provider Name | Karen A Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155722 PECOS PAC ID: 7113150228 Enrollment ID: I20140425000475 |
| Provider Name | Nicholas Augustus Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225697261 PECOS PAC ID: 4880926963 Enrollment ID: I20191022001635 |
| Provider Name | Hailey H Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164033007 PECOS PAC ID: 3274950118 Enrollment ID: I20200824002935 |
| Provider Name | Kimberly Suzette Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801428404 PECOS PAC ID: 0042627531 Enrollment ID: I20210330000764 |
| Provider Name | Amy A Canini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637600 PECOS PAC ID: 0042618332 Enrollment ID: I20211018002955 |
| Provider Name | Jamie Lynne Geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396411948 PECOS PAC ID: 6709275266 Enrollment ID: I20211123000663 |
| Provider Name | Nancy Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700649134 PECOS PAC ID: 2668810482 Enrollment ID: I20240329000615 |
| Provider Name | Candice Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750135224 PECOS PAC ID: 4082153473 Enrollment ID: I20240829001654 |
| Provider Name | Jessica Brooke Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386404960 PECOS PAC ID: 4587104096 Enrollment ID: I20240911002230 |
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