Southwest Wound Management LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTHWEST WOUND MANAGEMENT LLC

Doing business as

Southwest Wound Management

Practice address

2235 E Flamingo Rd Ste 142
Las Vegas, NV 89119-0806

Phone

(702) 818-9439

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian Kintanar

Title

Managing Member

Phone

(702) 818-9439

Specialties & licenses 1

Addresses

Other names 1

• Southwest Wound Management Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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.

• Ma Teresa Mercado, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1235984931
  Medicare reassignment NPD
• John Conrad Withrow, FNP-BC

  • Family Nurse Practitioner
  • Archdale, NC
  • NPI 1235538836

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1912700105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190806",
            "telephone_number": "702-818-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190806",
            "telephone_number": "702-818-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WOUND MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "KINTANAR",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-818-9439"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Wound Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Prestige Pediatrics & Aesthetics PLLC (Southwest Prestige Pediatrics)
• Southwest Rehabilitation Physicians & Farhang Associates PLLC
• Southwest Skin & Laser Center, Inc.
• Southwest Specialty Pharmacy LLC (Southwest Specialty Pharmacy)
• Southwest Vision Center
• Southwestern Health Solution LLC
• Haley K Southwick
• Shannon Kay Southwick, APRN
• Amanda Southworth
• Stephany Souza Ribeiro

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.