1. Home
  2. Directory
  3. Maryland
  4. Prince Frederick
  5. General Practice
  6. NPI Profile

INTEGRATED WOUND CARE MANAGEMENT MARYLAND LLC
NPI 1154963056
General Practice in Prince Frederick, MD

Active since October 11, 2019
85 HOSPITAL RD, PRINCE FREDERICK, MD 20678(201) 870-1194 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2022, Oct 11, 2019 (2 updates tracked since 2019).

About Integrated Wound Care Management Maryland Llc NPPES

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

INTEGRATED WOUND CARE MANAGEMENT MARYLAND LLC (NPI 1154963056) is a healthcare organization registered as a general practice in Prince Frederick, Maryland and active in the NPI registry since October 2019. The organization lists Diane Lusas, Member, as its authorized official.

NPPES Registry Identity

NPI1154963056
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE MARYLAND LLC
Location Address85 HOSPITAL RDPrince Frederick, MD 20678-4018
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713
Phone(201) 870-1194
Organization SubpartNo
Authorized OfficialDiane LusasMember · (732) 451-4318
Enumeration DateOctober 11, 2019
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1154963056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
85 HOSPITAL RD, Prince Frederick, MD 20678
Open in Google Maps ↗

Other Names 1

Other NameIntegrated Wound Care Management Maryland Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MS. CARLA SCHELL BOWLING NP
Nurse Practitioner (Adult Health)
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (443) 827-9593
MELISSA NELSON
Physical Therapy Assistant
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
OASIS NURSING & REHAB LLC
Nursing Care
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (718) 551-1715
MDICS REHABILITATIVE SERVICES - LTCACO LLC
Internal Medicine
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
MDICS REHABILITATIVE SERVICES LLC
Internal Medicine
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
CALVERTHEALTH MEDICAL CENTER, INC.
Clinic/Center (Radiology, Mobile)
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-8320
RANDI NICOLE BOUCHILLON DNP, FNP-C
Nurse Practitioner (Family)
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
SHARENE GORDON PT
Physical Therapist
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wound Care Maryland LLC's NPI number?

The NPI number for Integrated Wound Care Maryland LLC is 1154963056. It was assigned to this organization in the NPPES registry on October 11, 2019. The provider is also known as Integrated Wound Care Management Maryland LLC.

Where is Integrated Wound Care Maryland LLC located?

Integrated Wound Care Maryland LLC is located at 85 Hospital Rd, Prince Frederick, MD 20678. The listed phone number is (201) 870-1194.

What is Integrated Wound Care Maryland LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrated Wound Care Maryland LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.