Old Mission Wound Care Indiana LLC
NPI 1225878283ActiveOrganization· Specialist· Traverse City, MI
Specialist in Traverse City, Michigan, registered in NPPES in May 2024. The authorized official on file is Chrisopher Paul Mason, DO, Owner.
Overview
| NPI | 1225878283 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2024 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 37 Specialist providers in Traverse City · All Specialist providers in Michigan