Organization Active NPI

Primeheal Wound Care LLC

  • General Practice Physician
  • Havertown, PA
National Provider Identifier
1134032634
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIMEHEAL WOUND CARE LLC
Practice address
405 Kenmore Rd
Havertown, PA 19083-3908
Phone
(215) 760-9443
NPI assigned
Sep 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Dr. Karapet Davtyan, MD
Title
Owner
Phone
(215) 760-9443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

405 Kenmore Rd
Havertown, PA 19083-3908

Mailing address

405 Kenmore Rd
Havertown, PA 19083-3908
Phone (215) 760-9443

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1134032634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KENMORE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833908",
            "telephone_number": "215-760-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KENMORE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833908",
            "telephone_number": "215-760-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEHEAL WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-760-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.