Integrity Wound Care LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRITY WOUND CARE LLC

Practice address

414 Babcock Rd
San Antonio, TX 78201-3120

Phone

(210) 997-3355

Fax

(855) 217-1776

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Showers

Title

Administrator

Phone

(210) 997-3355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00377

Practitioners 4

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

• Gabriel David Alonso, APRN

  • Adult Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1659981066
  Medicare reassignment NPD
• Andrea Lynn Herrera, P.A.

  • Medical Physician Assistant
  • El Paso, TX
  • NPI 1700017530
  Medicare reassignment
• Richard S Herdener, M.D.

  • Dermatology Physician
  • Spokane, WA
  • NPI 1457326365
  NPD
• Daniel Levy, MD

  • Dermatology Physician
  • Bonney Lake, WA
  • NPI 1306067814
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1750142071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013120",
            "telephone_number": "210-997-3355",
            "fax_number": "855-217-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013120",
            "telephone_number": "210-997-3355",
            "fax_number": "855-217-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SHOWERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-997-3355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Telehealth Solutions, PLLC
• International Network of Creative Seniors and Affiliates
• International Neuro Psychiatric Associates

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.