Total Wound Care of Arkansas,llc
NPI 1205655008ActiveOrganization· Internal Medicine· Fayetteville, AR
Internal Medicine in Fayetteville, Arkansas, registered in NPPES in October 2024. The authorized official on file is Tad Burgess, Ceo/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205655008 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2024 |
| Last updated in NPPES | May 21, 2025 |
| Certified by provider | May 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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