Elite Wound Care, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ELITE WOUND CARE, LLC

Practice address

8660 E 103Rd St
Tulsa, OK 74133-6982

Phone

(918) 970-6194

Fax

(918) 970-6194

NPI assigned

Apr 12, 2022

Last updated

Sep 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darnell E. Blackmon, MDNPI 1831150655

Title

Owner

Phone

(918) 830-0059

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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.

• Darnell E. Blackmon, MD

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1831150655
  Medicare reassignment NPD Authorized official
• Tammy Irene Joplin, APRN

  • Clinical Nurse Specialist
  • Tulsa, OK
  • NPI 1073146312
  Medicare reassignment NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1396487013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 E 103RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336982",
            "telephone_number": "918-830-0059",
            "fax_number": "918-970-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 E 103RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336982",
            "telephone_number": "918-970-6194",
            "fax_number": "918-970-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-830-0059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Care
• Elite Medical Care PLLC
• Elite Medical Clinic PLLC
• Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC
• Elite Surgical Assisting, LLC
• Elizabeth a Greenwood, P.C. (Elizabeth A Greenwood, PH.D.)
• Elizabeth L Frost, PLLC
• Elizabeth Page Brockwell LCSW PLLC
• Jamie Lynn Elkins, O.D.
• Joshua Caleb Ellard

• Orthopaedic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.