Stat Veteran Wound Care Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAT VETERAN WOUND CARE INC

Practice address

60 E Township St Ste 5
Fayetteville, AR 72703-2836

Phone

(479) 263-9433

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jon Thornton Capps

Title

Owner

Phone

(479) 263-9433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1730885690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E TOWNSHIP ST STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032836",
            "telephone_number": "479-263-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E TOWNSHIP ST STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032836",
            "telephone_number": "479-263-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT VETERAN WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "THORNTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-263-9433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Pediatric Therapy LLC (Star Pediatric Therapy)
• Jeremy M Stark, LCSW
• Kathryn Stark, PHARMD
• Samantha Raychell Starling, ATC
• Stat Medical LLC
• State of Arkansas (Arkansas Veterans Home at Fayetteville)
• Ryan Staten
• Robert C Stauffer, MD
• Kimberly Ann Stauss, PHD
• Kathi R Stayman

• Durable Medical Equipment & Medical Supplies in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.