Organization Active NPI

Advanced Wound Treatment LLC

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1740084706
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ADVANCED WOUND TREATMENT LLC
Practice address
5795 S Elm PL
Broken Arrow, OK 74011-4893
Phone
(918) 592-9020
NPI assigned
Apr 1, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Darwin Griffeth, DC
Title
Coo
Phone
(918) 592-9020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5795 S Elm PL
Broken Arrow, OK 74011-4893

Mailing address

2488 E 81St St Ste 2000
Tulsa, OK 74137-4224
Phone (918) 592-9020

Other practice location 1

2488 E 81st St Ste 2000
Tulsa, OK 74137-4224
Phone (918) 592-9020

Other practice location 2

12939 E 116th St N
Collinsville, OK 74021-5278
Phone (918) 592-9020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251230000867 OK Part B Supplier - Clinic/Group Practice 2668968603 Receives reassigned benefits from 5 practitioners
Practice locations: Collinsville, OK; Broken Arrow, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2332560Advanced Wound Treatment LLC12939 East 116TH Street North, Collinsville, OK 74021Certificate of waiverOct 20, 2027
37D2332566Advanced Wound Treatment LLC5795 South Elm Place, Broken Arrow, OK 74011Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1740084706",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114893",
            "telephone_number": "918-592-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2488 E 81st St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374224",
            "country_code": "US",
            "telephone_number": "918-592-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12939 E 116th St N",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "OK",
            "postal_code": "740215278",
            "country_code": "US",
            "telephone_number": "918-592-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED WOUND TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFETH",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "918-592-9020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.