Renew Wound Care of Pennsylvania LLC
NPI 1194442640ActiveOrganization· Internal Medicine· Wyncote, PA
Internal Medicine in Wyncote, Pennsylvania, registered in NPPES in October 2022. The authorized official on file is Joseph Wiesenfeld, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194442640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2022 |
| Last updated in NPPES | Jun 27, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
Other internal medicine physicians in Wyncote
- 1265964159
- 1497832729
- 1609814813
- 1639148091
- 1679523724
- 1710942008
- 1326891474
- 1255248431