Organization Active NPI

Wound Care and Hyperbaric Treatment Center, LLP

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Boise, ID
National Provider Identifier
1396950424
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
WOUND CARE AND HYPERBARIC TREATMENT CENTER, LLP
Practice address
600 Robbins Rd
Boise, ID 83702-4539
Phone
(208) 489-5809
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Joseph P Caroselli
Title
President
Phone
(208) 489-5809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X ID Primary

Addresses

Primary practice location

600 Robbins Rd
Boise, ID 83702-4539

Mailing address

9875 S Franklin Dr
Franklin, WI 53132-8895
Phone (414) 858-2206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1396950424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 S FRANKLIN DR",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328895",
            "telephone_number": "414-858-2206",
            "fax_number": "414-858-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROBBINS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024539",
            "telephone_number": "208-489-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE AND HYPERBARIC TREATMENT CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CAROSELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-489-5809"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.