Organization Active NPI

North Texas Wound Care

  • Surgery Physician
  • Waxahachie, TX
National Provider Identifier
1962779231
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J1570 Issued in TX
Legal business name
NORTH TEXAS WOUND CARE
Practice address
926 Creekview Dr
Waxahachie, TX 75165-6159
Phone
(214) 732-3501
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mark Skyiepal
Title
MD
Phone
(972) 268-1916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X J1570 TX Primary

Addresses

Primary practice location

926 Creekview Dr
Waxahachie, TX 75165-6159

Mailing address

926 Creekview Dr
Waxahachie, TX 75165-6159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1962779231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 CREEKVIEW DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 CREEKVIEW DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656159",
            "telephone_number": "214-732-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SKYIEPAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-268-1916"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.