Western Infectious Disease Infusion Center, Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC.

Practice address

3303 W 144TH Ave
Suite 103
Broomfield, CO 80023-9464

Phone

(303) 425-9245

Fax

(303) 425-1378

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By 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

Jeffrey A. Desjardin, M.D.NPI 1821191305

Title

Physician/President

Phone

(303) 425-9245

Specialties & licenses 1

Addresses

Tax ID family

Western Infectious Disease Infusion Center Inc2 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.

• Western Infectious Disease Infusion Center, Inc

  • Infectious Disease Physician
  • Longmont, CO
  • NPI 1649927740
  NPD tax ID

Locations

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.

• Jeffrey A Desjardin, MD

  • Infectious Disease Physician
  • Wheat Ridge, CO
  • NPI 1821191305
  Authorized official Same address or phone

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1255733374",
    "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": "3303 W 144TH AVE",
            "address_2": "SUITE 103",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239464",
            "telephone_number": "303-425-9245",
            "fax_number": "303-425-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "DESJARDIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "303-425-9245",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin Weltsch, DPT
• Nicole Wenger, DPT
• Steven Robert Wertz, BCBA
• Western Ambulance Inc
• Western Infectious Disease Consultants, P.C.
• Western Physical Therapy Specialists, LLC (A. Fox Physical Therapy, PC)
• Western Physical Therapy Specialists, LLC (A. Fox Physical Therapy, PC)
• Bruce C Wetmore, DDS
• Jane Michelle Whalen Price, PT
• Wheat Ridge Regional Center

• Infectious Disease Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Infectious Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.