TOTAL WOUND CARE OF ARKANSAS,LLC - NPI 1205655008 - Internal Medicine in Fayetteville, AR

Q: What is Total Wound Care Of Arkansas,llc's NPI number?

The NPI number for Total Wound Care Of Arkansas,llc is 1205655008. It was assigned to this organization in the NPPES registry on October 8, 2024.

Q: What is Total Wound Care Of Arkansas,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Total Wound Care Of Arkansas,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTAL WOUND CARE OF ARKANSAS,LLC (NPI 1205655008) is a healthcare organization registered as an internal medicine in Fayetteville, Arkansas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Tad Burgess, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1205655008

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTOTAL WOUND CARE OF ARKANSAS,LLC

Location Address4250 N VENETIAN LNFayetteville, AR 72703-5077

Mailing Address1900 Nw Expressway Ste 800Oklahoma City, OK 73118-1804 · (405) 246-0811 · Fax (405) 546-5801

Phone(405) 246-0811

Fax(405) 546-5801

Organization SubpartNo

Authorized OfficialTad BurgessCeo/owner · (405) 659-6993

Enumeration DateOctober 8, 2024

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1205655008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4250 N VENETIAN LN, Fayetteville, AR 72703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2275902

Total Wound Care Of Oklahoma · Oklahoma City, OK

Active · expires Jan 30, 2027

CLIA Number37D2275902

Laboratory TypeMobile Laboratory

Certificate Effective DateJanuary 31, 2025

Certificate Expiration DateJanuary 30, 2027

Laboratory DirectorLaura A. Cudd

Laboratory Phone(405) 246-0811

Laboratory LocationTotal Wound Care Of Oklahoma13509 N Meridian Ave, Ste 5, Oklahoma City, OK 73120

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Wound Care Of Arkansas,llc's NPI number?

The NPI number for Total Wound Care Of Arkansas,llc is 1205655008. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Total Wound Care Of Arkansas,llc located?

Total Wound Care Of Arkansas,llc is located at 4250 N Venetian Ln, Fayetteville, AR 72703. The listed phone number is (405) 246-0811.

What is Total Wound Care Of Arkansas,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Total Wound Care Of Arkansas,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2275902) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Total Wound Care Of Arkansas,llc was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.