Arizona Infectious Diseases Services, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

36224 Issued in AZ

Legal business name

ARIZONA INFECTIOUS DISEASES SERVICES, LLC

Practice address

2423 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2830

Phone

(480) 652-3487

Fax

(602) 368-0446

NPI assigned

Sep 24, 2015

Last updated

May 5, 2017By 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

Ammar Mian, MDNPI 1336216803

Title

Owner

Phone

(480) 652-3487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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.

• Ammar Majeed Mian, MD

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1336216803
  Medicare reassignment Authorized official
• Mark Alan O'Malley, D.O.

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1083899686
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1083083661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25716",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550111",
            "telephone_number": "480-652-3487",
            "fax_number": "602-368-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 W DUNLAP AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212830",
            "telephone_number": "480-652-3487",
            "fax_number": "602-368-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INFECTIOUS DISEASES SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-652-3487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "36224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Housecalls LLC (AZ Housecalls)
• Arizona Id Consultants LLC
• Arizona Imaging Specialists, LLC
• Arizona Independence & Ability Services, LLC
• Arizona Independent Diagnostic Testing Facility PLLC
• Arizona Infusion Centers LLC (Medix Infusion)
• Arizona Injury Medical Associates, P.L.L.C.
• Arizona Institute for Bone and Joint Disorders
• Arizona Institute for Communication & Cognitive Disorders Inc
• Arizona Integrated Health, LLC

• Infectious Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.