Provider Demographics
NPI:1851603799
Name:OHIO WOUND AND HYPERBARIC CENTER, LLC
Entity Type:Organization
Organization Name:OHIO WOUND AND HYPERBARIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PANGALANGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-438-4977
Mailing Address - Street 1:2400 MIAMI VALLEY DR STE 220
Mailing Address - Street 2:MIAMI VALLEY HOSPITAL
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 MIAMI VALLEY DR STE 220
Practice Address - Street 2:MIAMI VALLEY HOSPITAL
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4774
Practice Address - Country:US
Practice Address - Phone:937-305-3254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty