Summit Wound Healing LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUMMIT WOUND HEALING LLC

Doing business as

Summit Wound Healing

Practice address

2670 Crimson Canyon Dr Ste 150
Las Vegas, NV 89128-0848

Phone

(702) 232-3189

Fax

(702) 726-9543

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherryl Cuaderno Takahashi

Title

Billing Manager

Phone

(702) 233-6196

Specialties & licenses 1

Addresses

Other names 1

• Summit Wound Healing Doing business as

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1154187516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRIMSON CANYON DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280848",
            "telephone_number": "702-232-3189",
            "fax_number": "702-726-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRIMSON CANYON DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280848",
            "telephone_number": "702-232-3189",
            "fax_number": "702-726-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WOUND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "TAKAHASHI",
        "authorized_official_first_name": "SHERRYL",
        "authorized_official_middle_name": "CUADERNO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-233-6196",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Wound Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.