Protectus Wound Care

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PROTECTUS WOUND CARE

Practice address

4 Ravenwood LN
Sandy, UT 84092-4849

Phone

(970) 629-8609

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Gregory S Anderson, DMP

Title

Owner

Phone

(970) 629-8609

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1477112464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RAVENWOOD LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924849",
            "telephone_number": "970-629-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RAVENWOOD LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924849",
            "telephone_number": "970-629-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECTUS WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-629-8609",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rosalisecbean@gmail.com",
            "affiliation": "N",
            "address_1": "4 Ravenwood Ln",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840924849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Sandy, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.