NPIMap

Organization Active NPI

Global Open Wound Care PLLC

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1720701659
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GLOBAL OPEN WOUND CARE PLLC
Practice address
250 Miron Dr
Southlake, TX 76092-7852
Phone
(817) 328-3000
NPI assigned
Sep 26, 2022
Last updated
Jan 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Authorized official

Name
Sado AlbitarNPI 1073742466
Title
Managing Director
Phone
(817) 328-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

250 Miron Dr
Southlake, TX 76092-7852

Mailing address

250 Miron Dr Ste 120
Southlake, TX 76092-7853

Other practice location 1

400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone (817) 328-3000

Other practice location 2

8270 Woodland Center Blvd Ste 121
Tampa, FL 33614-2401
Phone (817) 328-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20221031001886 TX Part B Supplier - Clinic/Group Practice 8921475294 Receives reassigned benefits from 30 practitioners
Practice locations: Southlake, TX
O20240319001583 FL Part B Supplier - Clinic/Group Practice 8921475294 Receives reassigned benefits from 11 practitioners
Practice locations: Tampa, FL
O20240624000085 AR Part B Supplier - Clinic/Group Practice 8921475294 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory
Tax ID family
Global Open Wound Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8270 Woodland Center Blvd
#121
Tampa, FL 33614
Phone (817) 328-3000

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

250 Miron Dr
#1
Southlake, TX 76092

250 Miron Dr
Ste 1700
Southlake, TX 76092

521 W Southlake Blvd
Southlake, TX 76092
Phone (817) 328-3000

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1720701659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MIRON DR STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927852",
            "telephone_number": "817-328-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Capitol Ave Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013438",
            "country_code": "US",
            "telephone_number": "817-328-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8270 Woodland Center Blvd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142401",
            "country_code": "US",
            "telephone_number": "817-328-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOBAL OPEN WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "ALBITAR",
        "authorized_official_first_name": "SADO",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "817-328-3000"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.