STAT WOUND CARE SERVICES LLC (NPI# 1588039085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588039085 |
| Entity Type | Organization |
| Organization Name | STAT WOUND CARE SERVICES LLC |
| Practice Address |
4790 Caughlin Pkwy # 379 Reno NV 89519-0907 |
| Practice Telephone | 7753489798 |
| Mailing Telephone | 7753489798 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DR. CHARLES P VIRDEN (CEO/FOUNDER) |
| Authorized Official Telephone | 7753489798 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA1641 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208200000X | Plastic Surgery | 7420 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
4790 CAUGHLIN PKWY # 379 |
| City | RENO |
| State | NV |
| Zip Code | 89519-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
| 1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
| 1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
| 1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| Find all providers in zip 89519 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487954632 | Sierra Healthcare LLC | Plastic Surgery | 9436 Double R Blvd A, Reno, NV 89521-2998 | 2010-10-21 |
| 1558483800 | Timothy A Janiga | Plastic Surgery | 500 Damonte Ranch Pkwy #703, Reno, NV 89521 | 2007-04-06 |
| 1073658399 | Louis Bonaldi | Plastic Surgery | 6630 S Mccarran Blvd # B20, Reno, NV 89509-6135 | 2007-02-21 |
| 1851437669 | Joseph Leo Kiener | Plastic Surgery | 530 Hammill Ln, Reno, NV 89511-2045 | 2007-01-29 |
| 1528147477 | Ladawn Michelle Talbott | Plastic Surgery | 5060 Meadowood Mall Cir Ste 200, Reno, NV 89502-6587 | 2006-11-03 |
| 1720080120 | Lauri Kalanges | Plastic Surgery | 1 Newlands Cir, Reno, NV 89509-1322 | 2005-08-15 |
| 1447713821 | Dayan Plastic Surgery | Plastic Surgery | 5570 Longley Ln, Reno, NV 89511-1825 | 2019-04-11 |
| 1811213036 | Erez Dayan | Plastic Surgery | 5570 Longley Ln, Reno, NV 89511 | 2010-04-13 |
| 1356664999 | Stephen G. Grace, M.d., Ltd. | Plastic Surgery | 9480 Double Diamond Pkwy, Suite 105, Reno, NV 89521-5845 | 2010-03-10 |
| 1871828665 | Timothy A. Janiga, Md, Pllc | Plastic Surgery | 500 Damonte Ranch Pkwy #703, Reno, NV 89521 | 2009-10-12 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.