ADVANCED WOUND INSTITUTE, LLC – NPI #1669007811
Clinic/Center

ADVANCED WOUND INSTITUTE, LLC is an AHC clinic located in GILBERT, AZ. NPPES has assigned the NPI number 1669007811 to ADVANCED WOUND INSTITUTE, LLC on March 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on Dec 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED WOUND INSTITUTE, LLC below.

NPI Profile for
ADVANCED WOUND INSTITUTE, LLC

NPI Number
1669007811
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED WOUND INSTITUTE, LLC
Primary location
4915 E BASELINE RD STE 104
GILBERT, AZ 85234-2966
Phone: (480) 616-0672 Fax: (480) 546-5369
2 Other location(s):
6036 N 19th Ave Ste 204
Phoenix, AZ 85015-2104
Phone: (480) 616-0676
Fax: (480) 564-5369
10147 W Grande Ave
Suite C4
Sun City, AZ 85351
Phone: (480) 616-0676
Fax: (602) 742-0315
Mailing address
DEPT#880392
P.O BOX 29650
PHOENIX, AZ 85038
Phone: (480) 616-0016 Fax: (480) 626-2690
Organization Subpart
No
Authorized Official
AJ DOYLE
GENERAL MANAGER
Phone: (480) 626-1746
Updated
Certification Date
Dec 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED WOUND INSTITUTE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ079456
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
163WW0000X
- Registered Nurse / Wound Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.