Impact Health Wound Care PLLC
NPI 1093502742ActiveOrganization· Family Medicine· Augusta, ME
Family Medicine in Augusta, Maine, registered in NPPES in April 2025. The authorized official on file is Jose A. Ventura, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1093502742 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2025 |
| Last updated in NPPES | Jul 2, 2025 |
| Certified by provider | Jul 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (NH) |
|---|
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