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AZ WOUND CARE MEDICAL GROUP
NPI 1861100828
General Practice in Gilbert, AZ

Active since November 09, 2022
3651 E BASELINE RD STE E-230, GILBERT, AZ 85234(323) 480-4075 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Az Wound Care Medical Group NPPES

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

AZ WOUND CARE MEDICAL GROUP (NPI 1861100828) is a healthcare organization registered as a general practice in Gilbert, Arizona and active in the NPI registry since November 2022. The organization lists Owen Bernardo Ellington, President, as its authorized official.

NPPES Registry Identity

NPI1861100828
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAZ WOUND CARE MEDICAL GROUP
Location Address3651 E BASELINE RD STE E-230Gilbert, AZ 85234-2689
Mailing Address5901 W Century Blvd Ste 750Los Angeles, CA 90045-5443 · (323) 480-4075
Phone(323) 480-4075
Organization SubpartNo
Authorized OfficialOwen Bernardo EllingtonPresident · (713) 304-4227
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1861100828 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
3651 E BASELINE RD STE E-230, Gilbert, AZ 85234
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Az Wound Care Medical Group's NPI number?

The NPI number for Az Wound Care Medical Group is 1861100828. It was assigned to this organization in the NPPES registry on November 9, 2022.

Where is Az Wound Care Medical Group located?

Az Wound Care Medical Group is located at 3651 E Baseline Rd Ste E-230, Gilbert, AZ 85234. The listed phone number is (323) 480-4075.

What is Az Wound Care Medical Group'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 Az Wound Care Medical Group was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.