Concord Infectious Disease Associates, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

41277 Issued in TN

Legal business name

CONCORD INFECTIOUS DISEASE ASSOCIATES, PC

Practice address

1419 W Baddour Pkwy
Lebanon, TN 37087-2513

Phone

(615) 420-5390

Fax

(615) 549-1532

NPI assigned

Nov 4, 2009

Last updated

Jun 23, 2016By 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

Dr. Haroon N Khan, MDNPI 1730114315

Title

President

Phone

(615) 420-5390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Haroon Nasir Khan, M.D.

  • Infectious Disease Physician
  • Lebanon, TN
  • NPI 1730114315

  KY

  Medicare reassignment Care Compare group Authorized official
• Wardah Khan, NP

  • Family Nurse Practitioner
  • Gallatin, TN
  • NPI 1063937670

  KY

  Medicare reassignment Care Compare group
• Kaitlin Pardo

  • Family Nurse Practitioner
  • Westmoreland, TN
  • NPI 1205444668

  KY

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1083941512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1906",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371211906",
            "telephone_number": "615-420-5390",
            "fax_number": "615-549-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-420-5390",
            "fax_number": "615-549-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD INFECTIOUS DISEASE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-420-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "41277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Progress Committee Inc. the Pavilion CPC
• Community Quick Care (Community Quick Care of Lebanon)
• Community Quick Care
• Complete Physical Therapy and Wellness, LLC
• Terah Dean Compton
• Maurice Consiglio, D.C.
• Amanda Manley Cook, FNP-C
• Christopher Cook, M.D.
• Jessica Marie Corkery, LPC-MHSP
• Barbara L Corlew, FNP

• Infectious Disease Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Infectious Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.