NPIMap

Organization Active NPI

Id Consultants PA

Doing business as ID Consultants PA & Infusion Care Specialists

  • Infectious Disease Physician
  • Charlotte, NC
National Provider Identifier
1205815701
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
ID CONSULTANTS PA
Doing business as
ID Consultants PA & Infusion Care Specialists
Practice address
4539 Hedgemore Drive
Suite 100
Charlotte, NC 28209
Phone
(704) 331-9669
Fax
(704) 688-0035
NPI assigned
Jan 12, 2006
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ID CONSULTANTS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lewis H McCurdy III, MDNPI 1194701466
Title
President
Phone
(704) 331-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

4539 Hedgemore Drive
Suite 100
Charlotte, NC 28209

Mailing address

4539 Hedgemore Drive
Suite 100
Charlotte, NC 28209
Phone (704) 331-9669

Other identifiers 2

IdentifierTypeStateIssuer
GP0907MedicaidSC
890145CMedicaidNC

Other names 1

  • ID Consultants PA & Infusion Care Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Id Consultants PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1205815701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 HEDGEMORE DRIVE",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-331-9669",
            "fax_number": "704-688-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 HEDGEMORE DRIVE",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-331-9669",
            "fax_number": "704-688-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CONSULTANTS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ID CONSULTANTS PA",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "MCCURDY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-331-9669",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0907",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890145C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ID Consultants PA & Infusion Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.