Provider Demographics
NPI:1538046081
Name:AMERIWOUND PHYSICIANS MO LLC
Entity type:Organization
Organization Name:AMERIWOUND PHYSICIANS MO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
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 HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4103
Mailing Address - Country:US
Mailing Address - Phone:216-273-9800
Mailing Address - Fax:216-273-9800
Practice Address - Street 1:13700 OLD HALLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4109
Practice Address - Country:US
Practice Address - Phone:314-355-0760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty