WOUND PROS MEDICAL GROUP
NPI 1124642996
General Practice in Philadelphia, PA

Q: What is Wound Pros Medical Group's NPI number?

The NPI number for Wound Pros Medical Group is 1124642996. It was assigned to this organization in the NPPES registry on June 8, 2020.

Q: What is Wound Pros Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 08, 2020

100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107(888) 880-3451 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Oct 22, 2020, Jun 8, 2020 (3 updates tracked since 2020).

On this page

About Wound Pros Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOUND PROS MEDICAL GROUP (NPI 1124642996) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Philadelphia and lists Christopher Ayodele Otiko, President, as its authorized official.

NPPES Registry Identity

NPI1124642996

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameWOUND PROS MEDICAL GROUP

Location Address100 S JUNIPER ST FL 3Philadelphia, PA 19107-1316

Mailing Address4640 Admiralty Way Ste 500Marina Del Rey, CA 90292-6636 · (818) 836-2475

Phone(888) 880-3451

Organization SubpartNo

Authorized OfficialChristopher Ayodele OtikoPresident · (818) 836-2475

Enumeration DateJune 8, 2020

Last NPPES UpdateJuly 1, 20223 updates tracked since enumeration

NPPES CertifiedJuly 1, 2022

✔ NPI 1124642996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

100 S JUNIPER ST FL 3, Philadelphia, PA 19107

Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Market Street 12th Floor, East TowerPhiladelphia, PA 19102-2152 · Phone (818) 836-2475 · Fax (323) 433-9177

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARI KERR NP

Nurse Practitioner (Family)