Provider Demographics
NPI:1740535988
Name:AMERIWOUND LLC
Entity type:Organization
Organization Name:AMERIWOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFI
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:FIXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-273-9800
Mailing Address - Street 1:6150 PARKLAND BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4103
Mailing Address - Country:US
Mailing Address - Phone:216-273-9800
Mailing Address - Fax:216-273-9998
Practice Address - Street 1:5800 LANDERBROOK DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-6510
Practice Address - Country:US
Practice Address - Phone:216-273-9800
Practice Address - Fax:440-461-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0069373Medicaid
OH0069373Medicaid