NPIMap

Organization Active NPI

Washington Wound Care LLC

  • Clinic/Center
  • Bogalusa, LA
National Provider Identifier
1861635260
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10096R Issued in LA
Legal business name
WASHINGTON WOUND CARE LLC
Practice address
1011 Avenue F
Bogalusa, LA 70427-4334
Phone
(985) 732-9940
Fax
(985) 732-9884
NPI assigned
Apr 14, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Purnachandra R Yerneni, M.D.NPI 1861571622
Title
Sole MBR
Phone
(985) 732-9940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10096R LA Primary

Addresses

Primary practice location

1011 Avenue F
Bogalusa, LA 70427-4334

Mailing address

1011 Avenue F
Bogalusa, LA 70427-4334
Phone (985) 732-9940

National Provider Directory

National Provider Directory

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1861635260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274334",
            "telephone_number": "985-732-9940",
            "fax_number": "985-732-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274334",
            "telephone_number": "985-732-9940",
            "fax_number": "985-732-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "YERNENI",
        "authorized_official_first_name": "PURNACHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "985-732-9940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "10096R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.