Organization Active NPI

Wound Care Associates LLC

Doing business as The Wound Care Clinics of Arizona

  • Specialist
  • Tempe, AZ
National Provider Identifier
1386113538
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Dr. Kenneth O Anaeme, MDNPI 1386618650
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

Other names 1

  • THE WOUND CARE CLINICS OF ARIZONA Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.