Paramount Wound Care LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

PARAMOUNT WOUND CARE LLC

Practice address

99855 Highway 82
Vian, OK 74962-6073

Phone

(479) 353-2368

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dzaidi Daud

Title

Ceo/President

Phone

(479) 353-2368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, AR2 enrollments

Enrollment records 2

Practitioners 3

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

• Carol Lynn Kennedy, APRN

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1194119016

  AR, Multi-Specialty

  Medicare reassignment NPD
• Addie Beth Gratz, ARNP

  • Primary Care Nurse Practitioner
  • Kingston, OK
  • NPI 1669498051
  Medicare reassignment
• Fayz A Hudefi, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Fort Smith, AR
  • NPI 1992740393
  NPD

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1104650688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99855 HIGHWAY 82",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749626073",
            "telephone_number": "479-353-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99855 HIGHWAY 82",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749626073",
            "telephone_number": "479-353-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "DAUD",
        "authorized_official_first_name": "DZAIDI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "479-353-2368"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Ellis Dobbs, OTD
• Echota Behavioral Health Services, LLC
• Linda Marlow
• Osu Center for Health Sciences
• Kenneth Pack Jr., D.C.
• Pavilion Behavioral Health LLC
• Angelyce Phipps
• Pioneer Lab Solutions LLC
• Red Haven Therapy
• Jesse Rouse

• Wound Care Registered Nurse in Vian, OK
• Providers in Vian, OK by specialty
• Wound Care Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.

Verify at the official NPI Registry.