NPIMap

Organization Active NPI

Hyperbaric Wound Specialists, PLLC

  • Specialist
  • Oak Ridge, TN
National Provider Identifier
1689612640
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HYPERBARIC WOUND SPECIALISTS, PLLC
Practice address
160A W Tennessee Ave
The Wound Treatment Center
Oak Ridge, TN 37830-6501
Phone
(865) 835-5374
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Ms. Deanna H Lowe
Title
Secretary
Phone
(865) 482-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

160A W Tennessee Ave
The Wound Treatment Center
Oak Ridge, TN 37830-6501

Mailing address

969 Oak Ridge Tpke
PMB 222
Oak Ridge, TN 37830-8832
Phone (865) 482-4028

Other identifiers 1

IdentifierTypeStateIssuer
3734106MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000093 TN Part B Supplier - Clinic/Group Practice 0547273070 Receives reassigned benefits from 9 practitioners
Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

160A W Tennessee Ave
Oak Ridge, TN 37830
Phone (865) 835-3740

160 W Tennessee Ave
#A
Oak Ridge, TN 37830
Phone (865) 481-0356

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1689612640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 OAK RIDGE TPKE",
            "address_2": "PMB 222",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308832",
            "telephone_number": "865-482-4028",
            "fax_number": "865-481-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160A W TENNESSEE AVE",
            "address_2": "THE WOUND TREATMENT CENTER",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306501",
            "telephone_number": "865-835-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC WOUND SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "865-482-4028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.