Organization Active NPI

Western Infectious Disease Consultants, P.C.

  • Infectious Disease Physician
  • Longmont, CO
National Provider Identifier
1043720600
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
04007191MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Western Infectious Diseases4 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.