Healthcare Provider Details

I. General information

NPI: 1851255921
Provider Name (Legal Business Name): AMERIWOUND PHYSICIANS KY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 BASS RD
PROSPECT KY
40059-9384
US

IV. Provider business mailing address

6150 PARKLAND BLVD STE 225
MAYFIELD HTS OH
44124-6149
US

V. Phone/Fax

Practice location:
  • Phone: 216-273-9800
  • Fax: 216-273-9998
Mailing address:
  • Phone: 216-273-9800
  • Fax: 216-273-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMSON FIXLER
Title or Position: COO
Credential:
Phone: 216-273-9800