Organization Active NPI

DFW Wound Care

  • Family Medicine Physician
  • Addison, TX
National Provider Identifier
1215333067
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DFW WOUND CARE
Practice address
17051 Dallas Pkwy Ste 250
Addison, TX 75001-7121
Phone
(469) 277-2701
Fax
(469) 277-2703
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Shannon B Payseur, MDNPI 1891869517
Title
Owner
Phone
(469) 277-2701

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 250
Addison, TX 75001-7121

Mailing address

5600 W Lovers LN
116-312
Dallas, TX 75209-4330
Phone (469) 277-2701

National Provider Directory

National Provider Directory

Locations

1675 Republic Pkwy
Ste 101
Mesquite, TX 75150
Phone (469) 585-2327

Practitioners & affiliated clinicians

Practitioners 1

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": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1215333067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W LOVERS LN",
            "address_2": "116-312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094330",
            "telephone_number": "469-277-2701",
            "fax_number": "469-277-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 250",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017121",
            "telephone_number": "469-277-2701",
            "fax_number": "469-277-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "PAYSEUR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-277-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.