Infectious Diseases Consultants, P.a.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME0056397 Issued in FL

Legal business name

INFECTIOUS DISEASES CONSULTANTS, P.A.

Practice address

21205 Olean Blvd Ste a
Port Charlotte, FL 33952-6756

Phone

(941) 613-2800

Fax

(941) 613-2801

NPI assigned

Oct 11, 2006

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Richard

Title

Office Manager

Phone

(941) 613-2800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tomasz K. Wazny, MD, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karl G. Damiani, M.D.

  • Infectious Disease Physician
  • Port Charlotte, FL
  • NPI 1497743744
  Medicare reassignment Care Compare group NPD
• Ndubuisi Christopher Edeoga, MD

  • Infectious Disease Physician
  • Port Charlotte, FL
  • NPI 1497919039
  Medicare reassignment Care Compare group NPD
• Luong P Nguyen, MD

  • Infectious Disease Physician
  • Port Charlotte, FL
  • NPI 1518120005
  Medicare reassignment Care Compare group NPD
• Nandini Kiri, MD PA

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1588658819
  NPD (past)
• Anna Morin, NP

  • Adult Health Nurse Practitioner
  • Sarasota, FL
  • NPI 1770559445
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1043308141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21205 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526756",
            "telephone_number": "941-613-2800",
            "fax_number": "941-613-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21205 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526756",
            "telephone_number": "941-613-2800",
            "fax_number": "941-613-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-613-2800"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0056397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440002698",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00338188",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271223700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomasz K. Wazny, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ily Medical Corps LLC
• Imagine ABA Corp
• Joshua Andrew Imig, D.C.
• Josh Immitt, PA
• Jacqueline Indrisek, PA
• Infinity Home Care of Port Charlotte, LLC (Amedisys Home Health)
• Infusion Systems PC (Genes Prescription Shop)
• Danielle Ingram, PMHNP-BC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC

• Infectious Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.