| Total Wound Care Of Oklahoma, Llc | |
|
1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 | |
| (405) 246-0811 | |
| (405) 546-5801 |
| Full Name | Total Wound Care Of Oklahoma, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Nw Expressway Ste 800, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tad Burgess (CEO) |
| Authorized Official Contact | 4052460811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wound Care Of Oklahoma, Llc 1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 Ph: (405) 246-0811 | Total Wound Care Of Oklahoma, Llc 1900 Nw Expressway Ste 800 Oklahoma City OK 73118-1804 Ph: (405) 246-0811 |
| NPI Number | 1972269033 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 1254724081 |
|---|---|
| Medicare Enrollment ID | O20220131001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972269033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Rick Traczyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609869494 PECOS PAC ID: 9638155021 Enrollment ID: I20040626000094 |
| Provider Name | Kendall J Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891772307 PECOS PAC ID: 5294778452 Enrollment ID: I20050722000892 |
| Provider Name | Laura S Gilmore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295764108 PECOS PAC ID: 8022011899 Enrollment ID: I20060816000485 |
| Provider Name | James B Krablin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679509657 PECOS PAC ID: 3779573894 Enrollment ID: I20091229000112 |
| Provider Name | Kenley L Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225419799 PECOS PAC ID: 4385945690 Enrollment ID: I20151210000911 |
| Provider Name | Katrina D Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578937009 PECOS PAC ID: 3870884638 Enrollment ID: I20160624002031 |
| Provider Name | Brack Allen Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639643166 PECOS PAC ID: 0345576799 Enrollment ID: I20190724000482 |
| Provider Name | Abbie Deeann Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497391452 PECOS PAC ID: 0941637706 Enrollment ID: I20200218000369 |
| Provider Name | Staci Y Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999413 PECOS PAC ID: 7911326624 Enrollment ID: I20200930000645 |
| Provider Name | Nicole Rachelle Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770171787 PECOS PAC ID: 0244644417 Enrollment ID: I20210129000166 |
| Provider Name | Dana Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643477 PECOS PAC ID: 0547677551 Enrollment ID: I20210318000327 |
| Provider Name | Sarah Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912554874 PECOS PAC ID: 2769886944 Enrollment ID: I20210810002765 |
| Provider Name | Stephanie Lynn Paine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174264733 PECOS PAC ID: 6901284538 Enrollment ID: I20220609001475 |
| Provider Name | Sharon Benigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669172391 PECOS PAC ID: 8628412343 Enrollment ID: I20240221000324 |
| Provider Name | Tara Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801378641 PECOS PAC ID: 5395190177 Enrollment ID: I20240304001389 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |