NPIMap

Organization Active NPI

Heal Well Wound Care LLC

  • Primary Care Clinic/Center
  • Denton, TX
National Provider Identifier
1902634348
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEAL WELL WOUND CARE LLC
Practice address
3200 Colorado Blvd Ste 202
Denton, TX 76210-6876
Phone
(940) 600-5311
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Sathish Karmegam, MDNPI 1528268331
Title
Cmo
Phone
(702) 273-9979

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3200 Colorado Blvd Ste 202
Denton, TX 76210-6876

Mailing address

640 Sheldon Dr
Trophy Club, TX 76262-1800

Other identifiers 1

IdentifierTypeStateIssuer
1528268331MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1902634348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SHELDON DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762621800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COLORADO BLVD STE 202",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106876",
            "telephone_number": "940-600-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL WELL WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "KARMEGAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "702-273-9979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528268331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.