NPIMap

Organization Active NPI

Total Wound Care of Oklahoma, LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1972269033
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address tburgess@totalwoundcareok.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

363 Route 111
Smithtown, NY 11787
Phone (631) 724-9394

13921 N Meridian Ave
Oklahoma City, OK 73134
Phone (405) 752-9600

13921 N Meridian Ave
Ste 203
Oklahoma City, OK 73134
Phone (405) 755-7600

1900 NW Expressway
Ste 710
Oklahoma City, OK 73118

Interoperability endpoints

  • Direct secure messaging: tburgess@totalwoundcareok.com

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

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.

Verify at the official NPI Registry.