Phoenix Infectious Diseases Consultants, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PHOENIX INFECTIOUS DISEASES CONSULTANTS, LLC

Practice address

340 E Palm LN
A260
Phoenix, AZ 85004-4603

Phone

(602) 254-1136

Fax

(602) 279-1720

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By 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

Ndidiamaka Obiesie, MDNPI 1770579492

Title

Owner

Phone

(602) 790-4108

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Infectious Disease Cons2 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.

• Phoenix Infectious Diseases Consultants LLC

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1235305574
  NPD tax ID

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.

• Ndidiamaka Uzoma Obiesie, MD

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1770579492
  NPD Authorized official

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1396977963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E PALM LN",
            "address_2": "A260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-254-1136",
            "fax_number": "602-279-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PALM LN",
            "address_2": "A260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-254-1136",
            "fax_number": "602-279-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX INFECTIOUS DISEASES CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "OBIESIE",
        "authorized_official_first_name": "NDIDIAMAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-790-4108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Id LLC
• Phoenix Indian Center, Inc.
• Phoenix Indian Medical Center
• Phoenix Indian Medical Center
• Phoenix Infectious Diseases Consultants LLC
• Phoenix Infinity Group LLC (Flower of Life Hospice Care)
• Phoenix Institute of Cardiology
• Phoenix Institute of Footcare Physicans, PLC
• Phoenix Interfaith Counseling
• Phoenix Internal Medicine Group PLC

• Infectious Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.