Organization Active NPI

Total Wound Specialists, P.a.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1083883193
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H1292 Issued in TX
Legal business name
TOTAL WOUND SPECIALISTS, P.A.
Practice address
5101 Medical Dr
San Antonio, TX 78229-4801
Phone
(210) 592-5349
Fax
(210) 592-5462
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Valerie Ann Larson-Lohr, APRN
Title
Managing Partner
Phone
(210) 494-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H1292 TX Primary

Addresses

Primary practice location

5101 Medical Dr
San Antonio, TX 78229-4801

Mailing address

2935 Thousand Oaks
Suite 294
San Antonio, TX 78247-3312
Phone (210) 494-1100

Other identifiers 4

IdentifierTypeStateIssuer
155302601MedicaidTX
P00090037OtherTXMEDICAL RAILROAD
87960XOtherTXBLUE CROSS BLUE SHIELD
G25684OtherTXUPIN

National Provider Directory

National Provider Directory

Locations

1305 Wonder World Dr
Ste 1
San Marcos, TX 78666
Phone (512) 353-6430

1305 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 353-6430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1083883193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 THOUSAND OAKS",
            "address_2": "SUITE 294",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473312",
            "telephone_number": "210-494-1100",
            "fax_number": "210-494-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294801",
            "telephone_number": "210-592-5349",
            "fax_number": "210-592-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WOUND SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "LARSON-LOHR",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "210-494-1100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155302601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL RAILROAD",
            "identifier": "P00090037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87960X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G25684",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.