NPIMap

Organization Active NPI

Stat Wound Care Services LLC

  • Plastic Surgery Physician
  • Reno, NV
National Provider Identifier
1588039085
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
7420 Issued in NV
Legal business name
STAT WOUND CARE SERVICES LLC
Practice address
4790 Caughlin Pkwy # 379
Reno, NV 89519-0907
Phone
(775) 348-9798
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. Charles P Virden, M.D.
Title
Ceo/Founder
Phone
(775) 348-9798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 7420 NV Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA1641 NV

Addresses

Primary practice location

4790 Caughlin Pkwy # 379
Reno, NV 89519-0907

Mailing address

4790 Caughlin Pkwy # 379
Reno, NV 89519-0907
Phone (775) 348-9798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1588039085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY # 379",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-348-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 CAUGHLIN PKWY # 379",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190907",
            "telephone_number": "775-348-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT WOUND CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "VIRDEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "775-348-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "7420",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.