Organization Active NPI

Advanced Wound Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Riverview, FL
National Provider Identifier
1811140635
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED WOUND SOLUTIONS LLC
Practice address
13508 Copper Belly CT
Riverview, FL 33569-2710
Phone
(813) 655-1226
Fax
(813) 381-3977
NPI assigned
Oct 23, 2008
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Raymond Rosencrans
Title
Co Owner
Phone
(813) 655-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

13508 Copper Belly CT
Riverview, FL 33569-2710

Mailing address

13508 Copper Belly CT
Riverview, FL 33569-2710
Phone (813) 655-1226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067397 FL DME Supplier - Medical Supply Company 0143428912 Practice locations: Riverview, FL

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advanced Wound Solution13508 Copper Belly CT, Riverview, FL 33569-2710(813) 655-1226 Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 23, 2009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1811140635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13508 COPPER BELLY CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692710",
            "telephone_number": "813-655-1226",
            "fax_number": "813-381-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13508 COPPER BELLY CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692710",
            "telephone_number": "813-655-1226",
            "fax_number": "813-381-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "ROSENCRANS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "813-655-1226"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.