Active NPI
Wound Care Associates LLC
Doing business as The Wound Care Clinics of Arizona
- Specialist
- Tempe, AZ
National Provider Identifier
1386113538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WOUND CARE ASSOCIATES LLC
- Doing business as
- The Wound Care Clinics of Arizona
- Practice address
- 2600 E Southern Ave Ste F2
Tempe, AZ 85282-7626 - Phone
- (480) 625-4704
- NPI assigned
- Nov 16, 2018
- Last updated
- Nov 16, 2018
- 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
- Dr. Kenneth O Anaeme, MD
- Title
- Managing Member
- Phone
- (602) 680-0236
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
2600 E Southern Ave Ste F2
Tempe, AZ 85282-7626
Mailing address
PO Box 11773
Chandler, AZ 85248-0013
Phone (480) 907-7707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
Other names 1
- THE WOUND CARE CLINICS OF ARIZONA
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Tempe, AZ
- NPI 1386618650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542326400000",
"number": "1386113538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11773",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852480013",
"telephone_number": "480-907-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE STE F2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827626",
"telephone_number": "480-625-4704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A",
"authorized_official_last_name": "ANAEME",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "602-680-0236",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE WOUND CARE CLINICS OF ARIZONA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.