Organization Active NPI

Wound Care Specialists, LLC

  • Wound Care Registered Nurse
  • Shawnee, KS
National Provider Identifier
1376124461
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
WOUND CARE SPECIALISTS, LLC
Practice address
22742 Midland Dr
Shawnee, KS 66226-3553
Phone
(913) 620-2377
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Dr. Matthew Thomas Gianforte, DCNPI 1932103751
Title
Director
Phone
(913) 620-2377

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU Primary
Family Medicine Physician 207Q00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

22742 Midland Dr
Shawnee, KS 66226-3553

Mailing address

22742 Midland Dr
Shawnee, KS 66226-3553
Phone (913) 620-2377

National Provider Directory

National Provider Directory

Locations

22742 Midland Dr
Shawnee, KS 66226
Phone (913) 441-2293

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1376124461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22742 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263553",
            "telephone_number": "913-620-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22742 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263553",
            "telephone_number": "913-620-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "GIANFORTE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-620-2377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.