AGGRESSIVE WOUND CARE LLC — NPI 1033308085 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine in DURANT, OK)

CMS-1500 Box 24J / 33a • NPI

1033308085

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2083P0011X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine

Box 32 Service Location & ZIP+4

889 KNIGHT DR, DURANT, OK, 74701-1722

✓ 9-Digit EDI 837 ZIP+4 (74701-1722)

Practice Phone & Referral Fax

(580) 920-6156

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033308085 (AGGRESSIVE WOUND CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033308085` (NPI-2 Organization / Facility)
Provider / Legal Name	AGGRESSIVE WOUND CARE LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine NUCC Code: `2083P0011X` (Preventive Medicine, Undersea and Hyperbaric Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	889 KNIGHT DR, DURANT, OK, 74701-1722
Practice Telephone / Fax	Tel: (580) 920-6156
Administrative Mailing Address	889 KNIGHT DR, DURANT, OK, 74701-1722
Enumeration & Last Sync	Enumerated: 2007-10-16 \| CMS Record Updated: 2007-10-16
Authorized Official	AMY FORD (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

889 KNIGHT DR, DURANT, OK, 74701-1722

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Plain-English Taxonomy & CMS Crosswalk (2083P0011X)

What Does Taxonomy Code 2083P0011X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083P0011X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Undersea and Hyperbaric Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AGGRESSIVE WOUND CARE LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2083P0011X` — Preventive Medicine, Undersea and Hyperbaric Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine	State: OK \| License: `1932` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AGGRESSIVE WOUND CARE LLC (NPI #1033308085)