Advanced Infusion Services, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

ADVANCED INFUSION SERVICES, LLC

Practice address

1901 Medi Park Dr Ste 1057
Amarillo, TX 79106-2168

Phone

(806) 242-2272

Fax

(806) 242-2273

NPI assigned

Oct 28, 2019

Last updated

Nov 14, 2019By 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

Cody Brownback

Title

Vice President

Phone

(806) 242-2272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Infusion Services, LLC

  dba Advanced Infusion Services

  • Infusion Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1417679622

  O20191217000383

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Advanced Infusion Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Infusion Services, LLC

  dba Advanced Infusion Services

  • Infusion Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1417679622
  NPD tax ID

Locations

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.

• Justin Aaron Amaro, D.O.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1194043216
  Medicare reassignment Care Compare group NPD
• Joseph John Wolcott, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lubbock, TX
  • NPI 1114119872

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1194368605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1057",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062168",
            "telephone_number": "806-242-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1057",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062168",
            "telephone_number": "806-242-2272",
            "fax_number": "806-242-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "BROWNBACK",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "806-242-2272"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.