# WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417193681
- **Authorized official:** ARTI BALAR MASTURZO MD (OWNER)
- **Authorized official phone:** (513) 557-3330

## Contact information

- **Practice address:** 10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
- **Practice address phone:** (513) 865-1111
- **Practice address fax:** (513) 557-3329
- **Mailing address:** PO BOX 643911, CINCINNATI, OH 45264-3911
- **Mailing address phone:** (513) 557-3330
- **Mailing address fax:** (513) 557-3329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | 35-082412 | OH | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 35-082412 | OH | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/18/2008
- **Last updated:** 03/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2993891 | — | OH |
| 05 | — | 64096233 | — | KY |
| 05 | — | 7100118600 | — | KY |