COMMUNITY WOUND RESOURCE, LLC (NPI# 1851924625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851924625 |
| Entity Type | Organization |
| Organization Name | COMMUNITY WOUND RESOURCE, LLC |
| Practice Address |
2901 4th St Longview TX 75605-5128 |
| Mailing Address |
594 Harvey Rd Kilgore TX 75662-0404 |
| Practice Telephone | 9037581818 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | BRETT BURNETT (MEMBER) |
| Authorized Official Telephone | 9365540225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2901 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982481 | Horizon Anesthesia Associates Pa | Anesthesiology | 2901 4th St, Longview, TX 75605-5128 | 2005-09-20 |
| 1043820632 | Matthew Graham Dawson | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2020-08-07 |
| 1861965840 | Jose I Montano | Nurse Anesthetist, Certified Registered | 2901 4th St, Longview, TX 75605-5128 | 2019-01-02 |
| 1134600919 | Jacquelyn Brooke Hopkins | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2018-08-28 |
| 1790292266 | Laine Anderson Veach | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2018-01-05 |
| 1114455565 | Lori Ebarb Reeves | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2017-05-30 |
| 1134660905 | Ryan Hansen Sexton | Registered Nurse | 2901 4th St, Longview, TX 75605-5128 | 2017-03-13 |
| 1013456193 | Christy Anne Cobb | Nurse Practitioner | 2901 4th St, (hospitalist), Longview, TX 75605-5128 | 2017-02-22 |
| 1407392822 | Mitchell Smith | Nurse Anesthetist, Certified Registered | 2901 4th St, Longview, TX 75605-5128 | 2017-01-09 |
| 1871954958 | Brittany Lindsey | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1982981049 | Hbmd Consulting LLC | General Practice | 1100 N 4th St, Longview, TX 75601-4739 | 2011-11-03 |
| 1821159492 | Sophie Michele Hoptowit | General Practice | 720 14th Avenue, Longview, WA 98632 | 2006-12-13 |
| 1326108242 | Paul J Stuber | General Practice | 1044 11th Ave, Longview, WA 98632-2506 | 2006-12-11 |
| 1013979053 | Richard English | General Practice | 950 N 4th St, Longview, TX 75601-5436 | 2006-04-05 |
| 1154390896 | William O. Stahl | General Practice | 1615 Delaware St, Longview, WA 98632-2310 | 2006-03-15 |
| 1720056187 | Peacehealth | General Practice | 1615 Delaware St, Longview, WA 98632-2367 | 2006-03-10 |
| 1780662643 | Wayne N Leeves | General Practice | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-01-02 |
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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.