Active NPI
Platinum Wound Care Specialist
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1174208763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PLATINUM WOUND CARE SPECIALIST
- Practice address
- 3830 E Flamingo Rd Ste 201
Las Vegas, NV 89121-6234 - Phone
- (702) 659-5604
- Fax
- (702) 660-6186
- NPI assigned
- Jun 20, 2023
- Last updated
- Aug 6, 2025
- 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
- Craig Jorgenson
- Title
- Owner
- Phone
- (702) 659-5604
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
3830 E Flamingo Rd Ste 201
Las Vegas, NV 89121-6234
Mailing address
1000 N Green Valley Pkwy Ste 440-127
Henderson, NV 89074-6170
Phone (702) 659-5604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Hawthorne, NV
- NPI 1063079234
-
- Nurse Practitioner
- North Las Vegas, NV
- NPI 1487114583
-
- Family Nurse Practitioner
- Henderson, NV
- NPI 1639754468
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1972129203
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1588646830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1174208763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N GREEN VALLEY PKWY STE 440-127",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746170",
"telephone_number": "702-659-5604",
"fax_number": "702-660-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 E FLAMINGO RD STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891216234",
"telephone_number": "702-659-5604",
"fax_number": "702-660-6186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM WOUND CARE SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-20",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "JORGENSON",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-659-5604"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Platinum Hospitalists LLP (Platinum Continuity and Specialty Clinic)
- Platinum Hospitalists LLP (Platinum Continuity and Specialty Clinic)
- Platinum Hospitalists, LLP
- Platinum Medical Supplies, LLC
- Platinum Medical Supplies, LLC (Platinum Medical LTC)
- Nikolaos Platis
- Joli Platko
- April Jean Platt
- Christopher Platt, DPT
- Amanda Platter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.