Active NPI
Total Wound Care of Oklahoma, LLC
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1972269033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TOTAL WOUND CARE OF OKLAHOMA, LLC
- Practice address
- 1900 NW Expressway Ste 800
Oklahoma City, OK 73118-1804 - Phone
- (405) 246-0811
- Fax
- (405) 546-5801
- NPI assigned
- Nov 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tad Burgess
- Title
- Ceo
- Phone
- (405) 246-0811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1900 NW Expressway Ste 800
Oklahoma City, OK 73118-1804
Mailing address
1900 NW Expressway Ste 800
Oklahoma City, OK 73118-1804
Phone (405) 246-0811
Other practice location 1
13921 N Meridian Ave
Oklahoma City, OK 73134-1103
Phone (405) 246-0811
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tburgess@totalwoundcareok.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220131001299 | OK | Part B Supplier - Clinic/Group Practice | 1254724081 |
Receives reassigned benefits from 28 practitioners Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryLocations
1706 Delivery Ln
Ste 200
Durant, OK 74701
Phone (580) 448-0121
8900 Silver Hill Dr
Oklahoma City, OK 73132
Phone (405) 557-1200
1900 NW Expressway
Ste 710
Oklahoma City, OK 73118
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1972269033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 NW EXPRESSWAY STE 800",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181804",
"telephone_number": "405-246-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 NW EXPRESSWAY STE 800",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181804",
"telephone_number": "405-246-0811",
"fax_number": "405-546-5801"
}
],
"practiceLocations": [
{
"address_1": "13921 N Meridian Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731341103",
"country_code": "US",
"telephone_number": "405-246-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOTAL WOUND CARE OF OKLAHOMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-12",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "TAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-246-0811"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tburgess@totalwoundcareok.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1900 NW Expressway Ste 800",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731181804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.