Organization Active NPI

Restore Wound Care LLC

Doing business as Restore Medical Group

  • Internal Medicine Physician
  • Thornton, CO
National Provider Identifier
1770259061
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESTORE WOUND CARE LLC
Doing business as
Restore Medical Group
Practice address
9195 Grant St Ste 301
Thornton, CO 80229-4386
Phone
(720) 678-9868
Fax
(720) 678-9860
NPI assigned
Aug 18, 2021
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Shawn Barrieau
Title
Managing Director
Phone
(709) 729-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

9195 Grant St Ste 301
Thornton, CO 80229-4386

Mailing address

9195 Grant St Ste 305
Thornton, CO 80229-4386
Phone (720) 678-9868

Other practice location 1

9195 Grant St Ste 305
Thornton, CO 80229-4386
Phone (720) 678-9868

Other names 1

  • Restore Medical Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1230 Tenderfoot Hill Rd
Ste 255
Colorado Springs, CO 80906
Phone (719) 576-5437

9195 Grant St
Ste 301
Thornton, CO 80229
Phone (720) 678-9868

Practitioners & affiliated clinicians

Practitioners 1

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": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1770259061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 305",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 301",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9195 Grant St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294386",
            "country_code": "US",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BARRIEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "709-729-2727"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.