Active NPI
Ascent Wound Care LLC
- Internal Medicine Physician
- Highlands Ranch, CO
National Provider Identifier
1306562830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASCENT WOUND CARE LLC
- Practice address
- 2608 Pemberly Ave
Highlands Ranch, CO 80126-7568 - Phone
- (719) 755-0446
- Fax
- (719) 755-0508
- NPI assigned
- Oct 17, 2022
- 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
- Matt Reynolds
- Title
- Owner
- Phone
- (405) 585-8677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2608 Pemberly Ave
Highlands Ranch, CO 80126-7568
Mailing address
2608 Pemberly Ave
Highlands Ranch, CO 80126-7568
Phone (719) 755-0446
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pueblo, CO
- NPI 1063138162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1306562830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 PEMBERLY AVE",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801267568",
"telephone_number": "719-755-0446",
"fax_number": "719-755-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 PEMBERLY AVE",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801267568",
"telephone_number": "719-755-0446",
"fax_number": "719-755-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENT WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-585-8677"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.