Active NPI
Western Infectious Disease Consultants, P.C.
- Infectious Disease Physician
- Longmont, CO
National Provider Identifier
1043720600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.
- Practice address
- 2030 Mountain View Ave Ste 540
Longmont, CO 80501-3183 - Phone
- (303) 425-9245
- Fax
- (720) 630-8591
- NPI assigned
- Oct 9, 2017
- Organization subpart
- Yes
- Parent organization
- WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth M Smith
- Title
- Practice Administrator
- Phone
- (303) 425-9245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
2030 Mountain View Ave Ste 540
Longmont, CO 80501-3183
Mailing address
PO Box 1449
Wheat Ridge, CO 80034-1449
Phone (303) 425-9245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04007191 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Western Infectious Diseases
- Part of
- Western Infectious Diseases
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- Broomfield, CO
- NPI 1225430325
-
- Multi-Specialty Clinic/Center
- Longmont, CO
- NPI 1467067702
-
- Infectious Disease Physician
- Lakewood, CO
- NPI 1598828949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507507200000",
"number": "1043720600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800341449",
"telephone_number": "303-425-9245",
"fax_number": "303-425-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 MOUNTAIN VIEW AVE STE 540",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013183",
"telephone_number": "303-425-9245",
"fax_number": "720-630-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "303-425-9245"
},
"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": "04007191",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- Katie Ann Wenzel, FNP-C
- Joshua Werner
- Elizabeth Jessie Werren, RID, BEI:ADVANCED,
- Loganne B Wertz, PA-C
- West Ascent Psychiatry, LLC
- Western Infectious Disease Consultants, P.C.
- Western Infectious Disease Infusion Center, Inc
- Western Nephrology & Metabolic Bone Disease, P.C.
- Melissa Wetzel
- Elizabeth Whanger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.