COMPREHENSIVE WOUND CARE NPI 1740489251

NPI Information

  • NPI: 1740489251
  • Provider Name: COMPREHENSIVE WOUND CARE
  • Classification: Preventive Medicine - 2083P0011X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Organization
  • Address: 16515 S 40TH ST
    SUITE 139
    PHOENIX, AZ
    ZIP 85048
  • Phone: (480) 706-0174

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NPI Details

COMPREHENSIVE WOUND CARE is an undersea and hyperbaric medicine preventive medicine in Phoenix, AZ. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. COMPREHENSIVE WOUND CARE NPI is 1740489251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16515 S 40TH ST
SUITE 139
PHOENIX, AZ
ZIP 85048-558
Phone: (480) 706-0174
Fax: (480) 706-0117

The provider's authorized official is Kenneth L Pettit .
The authorized official title is Owner Physician and has the following contact phone number (480) 706-0174.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1887507MEDICAIDARIZONA
2=========OTHERARIZONATAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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