Wound Care Physicians of Arizona PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

WOUND CARE PHYSICIANS OF ARIZONA PLLC

Practice address

1012 E Willetta St
Phoenix, AZ 85006-2749

Phone

(602) 839-6040

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Troy Wilde, DPMNPI 1023306933

Title

Podiatrist

Phone

(972) 951-9691

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Scott Wilde, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1023306933
  Medicare reassignment Care Compare group NPD Authorized official
• Bridget Natalie Blansfield, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1679250393
  Medicare reassignment Care Compare group NPD
• Karissa Mitchell, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1053095240
  Medicare reassignment Care Compare group NPD
• Andrew Gregory Levitt, DPM

  • Podiatrist
  • Chandler, AZ
  • NPI 1760773220
  Medicare reassignment NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1467096065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 E REINS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428628",
            "telephone_number": "972-951-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062749",
            "telephone_number": "602-839-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE PHYSICIANS OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "972-951-9691",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bannerhealth.com/locations/phoenix/banner-university-medical-center-phoenix",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1012 E Willetta St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delwyn J Worthington, M.D.
• Jessica Worthington
• Michelle L Worthy, LPN
• Spencer Bradley Wotring
• Wound Care Consultants U S LLC
• Wound Masters Mobile Physicians, PC
• Wound RX Medical Services of Arizona LLC
• Ansen Davis Wounded Face, PA-C
• Woven Midwifery PLLC
• Laurina Woyee

• Foot Surgery Podiatrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Foot Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.