Organization Active NPI

Waco Infectious Disease Associates P a

  • Infectious Disease Physician
  • Waco, TX
National Provider Identifier
1003844531
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
WACO INFECTIOUS DISEASE ASSOCIATES P A
Practice address
7030 New Sanger Ave
Ste 202
Waco, TX 76712
Phone
(254) 741-1860
Fax
(254) 741-1249
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
E Farley Verner, MD
Title
Partner
Phone
(254) 741-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

7030 New Sanger Ave
Ste 202
Waco, TX 76712

Mailing address

7030 New Sanger Ave
Ste 202
Waco, TX 76712
Phone (254) 741-1860

Other identifiers 1

IdentifierTypeStateIssuer
094993501MedicaidTX

National Provider Directory

National Provider Directory

Locations

2911 Herring Ave
Ste 203
Waco, TX 76708
Phone (254) 755-4450

7030 Sanger Rd
Ste 202
Woodway, TX 76712
Phone (254) 741-1860

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1003844531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER AVE",
            "address_2": "STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-1860",
            "fax_number": "254-741-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER AVE",
            "address_2": "STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-1860",
            "fax_number": "254-741-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO INFECTIOUS DISEASE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "VERNER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "FARLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "254-741-1860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094993501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.