Active NPI
Wound Solutions Inc
- Plastic and Reconstructive Surgery Physician
- Lafayette, CO
National Provider Identifier
1033737366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- WOUND SOLUTIONS INC
- Practice address
- 130 Old Laramie TRL Ste 100
Lafayette, CO 80026-7014 - Phone
- (866) 649-6863
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jackson Craig Bailey, MBA
- Title
- Ceo
- Phone
- (866) 649-6863
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary | ||
| Surgical Physician Assistant | 363AS0400X | |||
| Chronic Care Clinical Nurse Specialist | 364SC2300X |
Addresses
Primary practice location
130 Old Laramie TRL Ste 100
Lafayette, CO 80026-7014
Mailing address
130 Old Laramie TRL Ste 100
Lafayette, CO 80026-7014
Phone (866) 649-6863
Other names 1
- Wound Healing Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4650 Central Park Blvd
Denver, CO 80238
Phone (662) 803-5799
130 Old Laramie Trl
Ste 100
Lafayette, CO 80026
Phone (866) 649-6863
130 Old Laramie Trl
Lafayette, CO 80026
Phone (303) 664-9400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Lafayette, CO
- NPI 1629085196
-
- Gerontology Nurse Practitioner
- Aurora, CO
- NPI 1316226533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618963200000",
"number": "1033737366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 OLD LARAMIE TRL STE 100",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800267014",
"telephone_number": "866-649-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 OLD LARAMIE TRL STE 100",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800267014",
"telephone_number": "866-649-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JACKSON",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-649-6863",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wound Healing Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.