Active NPI
Comprehensive Wound Care PLLC
- Vascular Surgery Physician
- Kinston, NC
National Provider Identifier
1861463374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- COMPREHENSIVE WOUND CARE PLLC
- Practice address
- 204 Airport Road
Kinston, NC 28504-8814 - Phone
- (252) 527-9928
- Fax
- (252) 527-9929
- NPI assigned
- Feb 1, 2006
- 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
- Dr. Joseph D Whitlark, MD
- Title
- Owner
- Phone
- (252) 939-9300
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | Primary | ||
| Physical Therapist | 225100000X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
204 Airport Road
Kinston, NC 28504-8814
Mailing address
PO Box 5485
Kinston, NC 28503-5485
Phone (252) 527-9928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015VR | Other | NC | BCBS GROUP |
| 89015VR | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
703 Rosanne Dr
#A
Kinston, NC 28504
Phone (252) 939-9300
2508 N Queen St
Kinston, NC 28501
Phone (252) 522-0414
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Kinston, NC
- NPI 1336273606
-
- Surgery Physician
- Durham, NC
- NPI 1659454437
-
- Physical Therapist
- Greenville, NC
- NPI 1578542825
-
- Vascular Surgery Physician
- Elizabeth City, NC
- NPI 1629037445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1861463374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5485",
"city": "KINSTON",
"state": "NC",
"postal_code": "285035485",
"telephone_number": "252-527-9928",
"fax_number": "252-527-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 AIRPORT ROAD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048814",
"telephone_number": "252-527-9928",
"fax_number": "252-527-9929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE WOUND CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "WHITLARK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-939-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "015VR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015VR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
- Yvette King Combs, DNP
- Comfort Anesthesia PA
- Community Care Center Inc
- Community Care Center Ind
- Comprehensive Solutions of North Carolina, Inc.
- Conrad Faulkner OD PA
- Continuum II Home Care & Hospice, Inc.
- Continuum II Home Health & Hospice, Inc.
- Convenant Care in-Home Assistance, LLC
- Victoria Conway, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.