Provider Demographics
NPI:1144755141
Name:UBERWOUNDCARE INC
Entity Type:Organization
Organization Name:UBERWOUNDCARE INC
Other - Org Name:UWOUNDCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:BRET
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CCRN, PHN
Authorized Official - Phone:831-737-8275
Mailing Address - Street 1:2880 ZANKER RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2117
Mailing Address - Country:US
Mailing Address - Phone:866-310-2314
Mailing Address - Fax:831-998-8423
Practice Address - Street 1:2880 ZANKER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2117
Practice Address - Country:US
Practice Address - Phone:866-310-2314
Practice Address - Fax:831-998-8423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305S00000XManaged Care OrganizationsPoint of Service
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic MedicineGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
No335G00000XSuppliersMedical Foods Supplier