DFW Wound Management PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DFW WOUND MANAGEMENT PLLC

Practice address

17051 Dallas Pkwy Ste 250
Addison, TX 75001-7121

Phone

(972) 685-7330

Fax

(469) 666-1084

NPI assigned

Jun 16, 2009

Last updated

Nov 11, 2021By 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

Dr. Shannon B Payseur, MDNPI 1891869517

Title

Owner

Phone

(469) 277-2701

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Shannon B Payseur, MD

  • Family Medicine Physician
  • Addison, TX
  • NPI 1891869517
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1952538076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W LOVERS LN # 116-312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094330",
            "telephone_number": "469-277-2701",
            "fax_number": "469-666-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 250",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017121",
            "telephone_number": "972-685-7330",
            "fax_number": "469-666-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW WOUND MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PAYSEUR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-277-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "M0858",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218958101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER #",
            "identifier": "12529264",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Deberry
• William G Defoore, LPC, PHD
• Andrea Lynne Deschenes, PT, DPT
• DFW Post Acute Partners, PLLC (Accura Health Dallas-Fort Worth)
• DFW Wound Care
• Diagnostic Health Serivces
• Diagnostic Lab Services
• Joanna Irene Dias, PSYD
• Claire Dibble-Lim, MS, CCC-SLP
• Rob D Dickerman, D.O., PH.D.

• Family Medicine Physician in Addison, TX
• Providers in Addison, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.