Infectious Disease Consultants PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

1201 Issued in MN

Legal business name

INFECTIOUS DISEASE CONSULTANTS PA

Practice address

11676 Wayzata Blvd
Minnetonka, MN 55305-2009

Phone

(952) 746-8360

Fax

(952) 746-8368

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Joel Anderson, M.D.

Title

President

Phone

(952) 746-8360

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Kathryn Ruth Love, M.D.

  • Infectious Disease Physician
  • Minnetonka, MN
  • NPI 1871616417
  NPD (past)
• Jason Louis Sanchez, M.D.

  • Infectious Disease Physician
  • Minneapolis, MN
  • NPI 1518048842
  NPD (past)
• Amy Lyn Wetzel, NP

  • Acute Care Nurse Practitioner
  • Saint Paul, MN
  • NPI 1952676421
  NPD (past)
• Neelay Jitendra Kothari, M.D.

  • Infectious Disease Physician
  • Ypsilanti, MI
  • NPI 1841486354
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1003949892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11676 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052009",
            "telephone_number": "952-746-8360",
            "fax_number": "952-746-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11676 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052009",
            "telephone_number": "952-746-8360",
            "fax_number": "952-746-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-746-8360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CO0011",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533313000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.