Active NPI
Innovative Wound Care Inc
- General Practice Physician
- Fresno, CA
National Provider Identifier
1558101022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- INNOVATIVE WOUND CARE INC
- Practice address
- 5150 N 6TH St Ste 104
Fresno, CA 93710-7505 - Phone
- (559) 222-5362
- NPI assigned
- May 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bill Redmond
- Title
- Authorized Official
- Phone
- (559) 222-5362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
5150 N 6TH St Ste 104
Fresno, CA 93710-7505
Mailing address
5150 N 6TH St Ste 104
Fresno, CA 93710-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5150 N 6th St
Ste 104
Fresno, CA 93710
Phone (559) 222-4802
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Fresno, CA
- NPI 1679126064
-
- Nurse Practitioner
- Fresno, CA
- NPI 1366121485
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1487477592
-
- Family Medicine Physician
- Hanford, CA
- NPI 1518937150
-
- Nurse Practitioner
- Fresno, CA
- NPI 1154591444
-
- Nurse Practitioner
- Fresno, CA
- NPI 1891401485
-
- Chiropractor
- Fresno, CA
- NPI 1205866035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1558101022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107505",
"telephone_number": "559-222-5362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE WOUND CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "559-222-5362"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Innovations Counseling Services
- Innovations Counseling Services
- Innovative Integrated Health Inc (Fresno PACE, Bakersfield PACE)
- Innovative Minds ABA LLC
- Innovative RX Inc (Medicap Pharmacy)
- Grace R. Inouye, MD
- Gregory Inouye
- Insight Vision Center Medical Group, Inc. (InSight Vision Center)
- Inspiration Transportation
- Inspire Psychological Services Inc (psychology services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.