Organization Active NPI

Sancuro Wound Care Systems, Inc.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1235382276
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
SANCURO WOUND CARE SYSTEMS, INC.
Practice address
5097 S 900 E
Ste. 200
Salt Lake City, UT 84117-5768
Phone
(801) 944-6000
Fax
(801) 816-1426
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Nathan Gines
Title
Vice President of Operations
Phone
(801) 864-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

5097 S 900 E
Ste. 200
Salt Lake City, UT 84117-5768

Mailing address

5097 S 900 E
Ste. 200
Salt Lake City, UT 84117-5768
Phone (801) 944-6000

Other identifiers 1

IdentifierTypeStateIssuer
1235382276MedicaidUT

National Provider Directory

National Provider Directory

Locations

5097 S 900 E
Ste 200
Murray, UT 84117
Phone (801) 944-6000

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1235382276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 S 900 E",
            "address_2": "STE. 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175768",
            "telephone_number": "801-944-6000",
            "fax_number": "801-816-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 S 900 E",
            "address_2": "STE. 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175768",
            "telephone_number": "801-944-6000",
            "fax_number": "801-816-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCURO WOUND CARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "GINES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "801-864-1242"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235382276",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.