Advanced Wound Therapy-Mo, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED WOUND THERAPY-MO, LLC

Practice address

1801 W Norton Rd
Springfield, MO 65803-5303

Phone

(918) 592-9020

Fax

(918) 443-3221

NPI assigned

Jan 7, 2026

Last updated

Jan 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Dickman

Title

Chief Administrative Officer

Phone

(918) 592-9020

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Michael Canaday, D.O.

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972802254

  Family Medicine

  NPD (past)
• Matthew L Carmichael, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1205147998

  Family Medicine

  NPD (past)
• Thomas Kenton Denmark, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1881629079
  NPD (past)

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1629935044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 2000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374224",
            "telephone_number": "918-592-9020",
            "fax_number": "918-443-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W NORTON RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658035303",
            "telephone_number": "918-592-9020",
            "fax_number": "918-443-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND THERAPY-MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "918-592-9020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.