NPIMap

Organization Active NPI

Infectious Disease Consultants PLLC

  • Infectious Disease Physician
  • Tucson, AZ
National Provider Identifier
1356609077
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANTS PLLC
Practice address
2001 W Orange Grove Rd
Suite 404
Tucson, AZ 85704-1139
Phone
(520) 989-0226
Fax
(520) 989-3798
NPI assigned
May 1, 2012
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Shannon Todd Martin Thorn, M.D.NPI 1528268075
Title
Owner
Phone
(520) 229-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

2001 W Orange Grove Rd
Suite 404
Tucson, AZ 85704-1139

Mailing address

PO Box 16125
Tucson, AZ 85732-6125
Phone (520) 989-0226

Other identifiers 1

IdentifierTypeStateIssuer
711418MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1356609077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857326125",
            "telephone_number": "520-989-0226",
            "fax_number": "520-989-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "SUITE 404",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041139",
            "telephone_number": "520-989-0226",
            "fax_number": "520-989-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "TODD MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-229-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

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