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NPI Code Detail

MEDICARE: AMERIWOUND PHYSICIANS KY, LLC

MEDICARE: AMERIWOUND PHYSICIANS KY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2363L00000XNurse Practitioner
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1851255921
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERIWOUND PHYSICIANS KY, LLC
Provider Business Mailing Address
First Line : 6150 PARKLAND BLVD STE 225
Second Line :
City : MAYFIELD HTS
State : OH
Zip : 44124-6149
Country : US
Telephone Number : 216-273-9800
Fax Number : 216-273-9998
Provider Business Practice Location Address
First Line : 6301 BASS RD
Second Line :
City : PROSPECT
State : KY
Zip : 40059-9384
Country : US
Telephone Number : 216-273-9800
Fax Number : 216-273-9998
Authorized Official
Title or Position : COO
Name : SAMSON FIXLER
Credential :
Telephone Number : 216-273-9800
Provider Enumeration Date : 12/12/2025
Last Update Date : 03/03/2026

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Directions to “AMERIWOUND PHYSICIANS KY, LLC ” Practice Location

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