Wound Care Clinic Esu Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WOUND CARE CLINIC ESU INC

Practice address

509 Lake Rd
Dyersburg, TN 38024-3877

Phone

(731) 287-0804

Fax

(731) 287-7373

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Susan G Davis

Title

Owner

Phone

(731) 287-0804

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Janette Humpolick, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Dyersburg, TN
  • NPI 1861468308
  NPD (past)
• Jane Snedeker Owen, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1821158494
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922074491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243877",
            "telephone_number": "731-287-0804",
            "fax_number": "731-287-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243877",
            "telephone_number": "731-287-0804",
            "fax_number": "731-287-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CLINIC ESU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-287-0804"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hardy Wolfe, MD
• Womens Clinic of Dyersburg, PLLC
• Brittney Leigh Woods, OTR/L
• Mary Katherine Woods, PHARMD
• Amber Danielle Woody
• Jessica Wright, OT
• Makayla Madden Wright
• Sheryl Lynn Wright, FNP
• WT Medical Associates
• WT Medical Associates

• Multi-Specialty Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.