WOUND COMPANY PROVIDER GROUP, INC.
NPI 1114635174
Registered Nurse - Wound Care in Minneapolis, MN

NPI Status: Active since November 09, 2022

Contact Information

2240 DREW AVE S
MINNEAPOLIS, MN
ZIP 55416
Phone: (858) 774-6305

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  • Organization
  • Registered Nurse
  • Wound Care
  • Accepts Insurance

About WOUND COMPANY PROVIDER GROUP, INC.

This page provides the complete NPI Profile along with additional information for Wound Company Provider Group, Inc., a provider established in Minneapolis, Minnesota operating as a Registered Nurse, focusing in wound care . The healthcare provider is registered in the NPI registry with number 1114635174 assigned on November 2022. The practitioner's primary taxonomy code is 163WW0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Wound Company Provider Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Sanford E Roberts Iii Md, Inc.. The authorized official of this NPI record is Dr. Brantley Tilman Jolly Jr. Md (President)

NPI
1114635174
Provider Legal Name
WOUND COMPANY PROVIDER GROUP, INC.
Other Organization Name
SANFORD E ROBERTS III MD, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2240 DREW AVE S MINNEAPOLIS, MN 55416
Location Phone
(858) 774-6305
Mailing Address
2240 DREW AVE S MINNEAPOLIS, MN 55416
Mailing Phone
(858) 774-6305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2022
Last Update Date
07-18-2023
Code Navigator

A registered nurse (RN) like Wound Company Provider Group, Inc. coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse Wound Care

Taxonomy Code
163WW0000X
Type
Nursing Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WC2100XNursing Service Providers

Registered Nurse
Continence Care

 
2163WE0900XNursing Service Providers

Registered Nurse
Enterostomal Therapy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRANTLEY TILMAN JOLLY JR. MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 447-6897

Reviews for WOUND COMPANY PROVIDER GROUP, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114635174, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 2 + 3 + 1 + 0 + 1 + 1 + 4 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114635174.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Registered Nurse (Wound Care)
2240 DREW AVE S
MINNEAPOLIS, MN 55416
Nurse Practitioner
2240 DREW AVE S
MINNEAPOLIS, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114635174, enumerated as an "organization" on November 09, 2022.

The provider is located at 2240 DREW AVE S MINNEAPOLIS, MN 55416 and the phone number is (858) 774-6305.

Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.