Ohio Wound Care Associates Llc | |
12301 Ridge Rd North Royalton OH 44133-3744 | |
(440) 652-8748 | |
(440) 582-3171 |
Full Name | Ohio Wound Care Associates Llc |
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Speciality | Internal Medicine |
Location | 12301 Ridge Rd, North Royalton, Ohio |
Authorized Official Name and Position | Tracy Wimberg (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6095172526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ohio Wound Care Associates Llc 5741 Shields Rd Ste B Canfield OH 44406-9814 Ph: (330) 559-5115 | Ohio Wound Care Associates Llc 12301 Ridge Rd North Royalton OH 44133-3744 Ph: (440) 652-8748 |
NPI Number | 1659965457 |
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Provider Enumeration Date | 02/23/2021 |
Last Update Date | 09/03/2024 |
Medicare PECOS PAC ID | 7719393032 |
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Medicare Enrollment ID | O20210311002489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659965457 | NPI | - | NPPES |
Provider Name | Lorraine Cresanto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487770962 PECOS PAC ID: 0244338978 Enrollment ID: I20070605000005 |
Provider Name | Renee Sferra |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1154569838 PECOS PAC ID: 5496804437 Enrollment ID: I20090521000131 |
Provider Name | Pratheek Kakkasseril |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1609195643 PECOS PAC ID: 0143474247 Enrollment ID: I20130124000440 |
Provider Name | Louis E Volino |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669736591 PECOS PAC ID: 6103040555 Enrollment ID: I20140605000667 |
Provider Name | Pamela Jean Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053789123 PECOS PAC ID: 3577864339 Enrollment ID: I20151221001115 |
Provider Name | Maggie Yanulaitis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881274538 PECOS PAC ID: 1052714862 Enrollment ID: I20210730000238 |
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