NPIMap

Organization Active NPI

Paradigm Wound Specialists LLC

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1326818329
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PARADIGM WOUND SPECIALISTS LLC
Practice address
3105 E Skelly Dr Ste 310
Tulsa, OK 74105-6371
Phone
(214) 886-5020
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Tyler Woods, NPNPI 1013491141
Title
Member
Phone
(214) 886-5020

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 Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3105 E Skelly Dr Ste 310
Tulsa, OK 74105-6371

Mailing address

3105 E Skelly Dr Ste 310
Tulsa, OK 74105-6371
Phone (214) 886-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240118003228 OK Part B Supplier - Clinic/Group Practice 4284086828 Receives reassigned benefits from 14 practitioners
Practice locations: Tulsa, OK; Owasso, OK; Nowata, OK; Broken Arrow, OK; Bartlesville, OK
O20250310001123 OK DME Supplier - Nurse Practitioner 4284086828 Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Paradigm Wound Specialists LLC3105 E Skelly Dr, Tulsa, OK 74105-6371(918) 954-1083 Pneumatic Compression Devices and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory

Locations

436 S Joe St
Nowata, OK 74048
Phone (908) 273-2236

10020 E 91st St
Tulsa, OK 74133
Phone (918) 720-7046

3219 S 79th East Ave
Tulsa, OK 74145
Phone (833) 524-2400

8720 S 101st East Ave
Tulsa, OK 74133
Phone (918) 965-0101

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1326818329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR STE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056371",
            "telephone_number": "214-886-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR STE 310",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056371",
            "telephone_number": "214-886-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM WOUND SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-886-5020",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.