Organization Active NPI

Adeo Wound Services LLC

  • Plastic Surgery Physician
  • Reno, NV
National Provider Identifier
1174998702
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
7420 Issued in NV
Legal business name
ADEO WOUND SERVICES LLC
Practice address
4790 Caughlin Pkwy # 380
Reno, NV 89519-0907
Phone
(775) 348-9798
NPI assigned
Dec 8, 2015
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. Charles P Virden, M.D.NPI 1235151309
Title
Ceo/Founder
Phone
(775) 348-9798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1641 NV
Plastic Surgery Physician 208200000X 7420 NV Primary

Addresses

Primary practice location

4790 Caughlin Pkwy # 380
Reno, NV 89519-0907

Mailing address

4790 Caughlin Pkwy # 380
Reno, NV 89519-0907
Phone (775) 348-9798

National Provider Directory

National Provider Directory

Locations

645 N Arlington Ave
Ste 335
Reno, NV 89503
Phone (775) 770-6230

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1174998702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY # 380",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-348-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY # 380",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-348-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEO WOUND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "VIRDEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "775-348-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1641",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.