Active NPI
Restore Wound Care LLC
Doing business as Restore Medical Group
- Internal Medicine Physician
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Spruce Health Group
- Internal Medicine Physician
- Littleton, CO
- NPI 1982364212
Member Of
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.
-
- Plastic Surgery Physician
- Thornton, CO
- NPI 1265596308
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.