Old Mission Wound Care Wisconsin LLC
Specialist in Traverse City, MI. Organization (NPI-2).
NPI number1124858675
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1124858675
- Entity type
- Organization (NPI-2)
- Legal business name
- Old Mission Wound Care Wisconsin LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1989 Kroupa RdTraverse City, MI 49686-9759
Phone 231-260-4622
Mailing address
225 Matlage Way Unit 31Sugar Land, TX 77487-0807
Phone 231-260-4622
Authorized official
Christopher Paul Mason
Owner
2312604622
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Specialist providers in Traverse City, MI
- Bay Area DermatologyNPI 1306082755
- Cornelius Robens, MD, PLLCNPI 1407960057
- Janna Lynn DeeringNPI 1750533980
- Diane Parsons, MD, PLLCNPI 1225142854
- Dr Luis Felix Oxholm PCNPI 1487744496
- Dr. Heather K. Lee, D.O., PLLCNPI 1497070502
- Drew V Collins MD PCNPI 1629210224
- Roche J Featherstone, M.D.NPI 1215958673
- Jp Center For Plastic Surgery PCNPI 1316358385
- Kersti M Bruining MD PLLCNPI 1588778088
All 37 Specialist providers in Traverse City · All 4,445 providers in Traverse City
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.