Mobile Wound Care SC
NPI 1649002734ActiveOrganization· Orthopaedic Surgery· Milwaukee, WI
Orthopaedic Surgery in Milwaukee, Wisconsin, registered in NPPES in August 2024. The authorized official on file is Tyler Stout, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649002734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2024 |
| Last updated in NPPES | Dec 27, 2024 |
| Certified by provider | Dec 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 (WI) |
|---|
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