| Advanced Wound Therapy - Ar, LLC | |
|
593 S Horsebarn Rd Ste 200 Rogers AR 72758-8798 | |
| (918) 592-9020 | |
| Not Available |
| Full Name | Advanced Wound Therapy - Ar, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 593 S Horsebarn Rd Ste 200, Rogers, Arkansas |
| Authorized Official Name and Position | Darwin Griffeth (COO) |
| Authorized Official Contact | 9185929020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Therapy - Ar, LLC 2488 E 81st St Ste 2000 Tulsa OK 74137-4224 Ph: (918) 592-9020 | Advanced Wound Therapy - Ar, LLC 593 S Horsebarn Rd Ste 200 Rogers AR 72758-8798 Ph: (918) 592-9020 |
| NPI Number | 1427854926 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 01/14/2026 |
| Certification Date | 01/14/2026 |
| Medicare PECOS PAC ID | 3476072901 |
|---|---|
| Medicare Enrollment ID | O20250604003942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427854926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Thomas Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881629079 PECOS PAC ID: 4082746078 Enrollment ID: I20250509002427 |
| Provider Name | Matthew L Carmichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205147998 PECOS PAC ID: 0244495901 Enrollment ID: I20250827000382 |
| Provider Name | Eric Canaday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972802254 PECOS PAC ID: 7911142948 Enrollment ID: I20250930000117 |
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