Healthcare Provider Details

I. General information

NPI: 1942143276
Provider Name (Legal Business Name): WOUNDWORX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5268 MEADOWSVIEW LN
HILLIARD OH
43026-2654
US

IV. Provider business mailing address

6215 TOWNFIELD AVE
BURLINGTON KY
41005-2010
US

V. Phone/Fax

Practice location:
  • Phone: 720-317-9324
  • Fax:
Mailing address:
  • Phone: 720-317-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEREMY WASHBURN
Title or Position: OWNER
Credential:
Phone: 720-317-9324