NPIMap

Organization Active NPI

Wound Surgeons LLC

  • General Practice Physician
  • Farmington, CT
National Provider Identifier
1982916151
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUND SURGEONS LLC
Practice address
76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone
(203) 598-6045
Fax
(203) 879-0834
NPI assigned
Jul 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Robert BrenesNPI 1235398611
Title
Chief Executive Officer
Phone
(203) 598-6045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571

Mailing address

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone (203) 598-6045

Other names 1

  • Wound Care Specialists, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000178 CT Part B Supplier - Clinic/Group Practice 5890829451 Receives reassigned benefits from 10 practitioners
Practice locations: Farmington, CT

National Provider Directory

National Provider Directory

Locations

132 Main St
Chester, CT 06412
Phone (860) 526-5362

156 Berlin Rd
Cromwell, CT 06416
Phone (860) 635-1010

33 Cone Ave
Meriden, CT 06450
Phone (203) 238-1606

19 Poplar St
New Milford, CT 06776
Phone (860) 354-1277

45 Maltby St
Shelton, CT 06484
Phone (203) 924-4671

4 Research Pkwy
Wallingford, CT 06492
Phone (203) 598-6045

Practitioners & affiliated clinicians

Practitioners 10

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": "1278288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1982916151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-05",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-598-6045"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wound Care Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.