Organization Active NPI

Disease Network Inc

Doing business as Wound Technology Network

  • Podiatrist
  • Pasadena, CA
National Provider Identifier
1396914693
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DISEASE NETWORK INC
Doing business as
Wound Technology Network
Practice address
395 Redwood Dr
Pasadena, CA 91105-1340
Phone
(954) 923-7440
NPI assigned
Feb 21, 2008
Organization subpart
Yes
Parent organization
WOUND TECHNOLOGY NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
G William Courtright, MD
Title
Ceo
Phone
(954) 923-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X CA Primary

Addresses

Primary practice location

395 Redwood Dr
Pasadena, CA 91105-1340

Mailing address

3440 Hollywood Blvd
Suite 460
Hollywood, FL 33021-6927
Phone (954) 923-7440

Other identifiers 1

IdentifierTypeStateIssuer
G44886OtherFLSTATE LICENSE

Other names 1

  • WOUND TECHNOLOGY NETWORK Doing business as

National Provider Directory

National Provider Directory
Part of
Wound Technology Network

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1396914693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD",
            "address_2": "SUITE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216927",
            "telephone_number": "954-923-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 REDWOOD DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051340",
            "telephone_number": "954-923-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISEASE NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOUND TECHNOLOGY NETWORK INC",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "COURTRIGHT",
        "authorized_official_first_name": "G WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-923-7440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G44886",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOUND TECHNOLOGY NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.