Ameriwound Physicians Mo LLC

General Practice Physician · Black Jack, MO

Organization Active NPI

NPI number 1538046081

Practice location

13700 Old Halls Ferry Rd
Black Jack, MO 63033-4109
Phone
(314) 355-0760

Open in Google Maps

NPI record

NPI
1538046081
Entity type
Organization (Type 2)
Enumeration date
August 18, 2025
Last updated
August 18, 2025
Certified
August 18, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Mailing address

6150 Parkland Blvd Ste 225
Mayfield Hts, OH 44124-4103
Phone
(216) 273-9800
Fax
(216) 273-9800

Authorized official

Name
Samson Fixler
Title
Secretary
Phone
(216) 273-9800

About Ameriwound Physicians Mo LLC

Ameriwound Physicians Mo LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 13700 Old Halls Ferry Rd, Black Jack, MO 63033-4109. The NPI number 1538046081 was assigned on August 18, 2025 and the record was last updated on August 18, 2025.

The authorized official for this organization is Samson Fixler, Secretary.

Frequently asked questions

What is the NPI number of Ameriwound Physicians Mo LLC?

The NPI number is 1538046081.

What is the phone number of Ameriwound Physicians Mo LLC?

The phone number listed for the practice location is (314) 355-0760.

Where is Ameriwound Physicians Mo LLC located?

13700 Old Halls Ferry Rd, Black Jack, MO 63033-4109.

What is the taxonomy code for Ameriwound Physicians Mo LLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.