Complete Infectious Diseases Care Associates, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

P6399 Issued in TX

Legal business name

COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC

Practice address

11803 South Fwy Ste 202
Burleson, TX 76028-7029

Phone

(646) 244-8857

NPI assigned

May 18, 2018

Last updated

May 18, 2018By 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

Vitaly Golub, MDNPI 1346404993

Title

Owner

Phone

(646) 244-8857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Vitaly Golub, MD

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1346404993
  Medicare reassignment Care Compare group NPD Authorized official
• Margaret Stinnett, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Northlake, TX
  • NPI 1114495629
  Medicare reassignment Care Compare group NPD
• Muhammad Azher Khan, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1487600342
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1417447012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY STE 202",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287029",
            "telephone_number": "646-244-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE INFECTIOUS DISEASES CARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "VITALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-244-8857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cole, CSFA
• Jordyn Gabrielle Collins, PHARMD
• Colony Homes, Inc (Colony Health Care)
• Comfort Cpa Care LLC (Felicia Fields Tucker)
• Complete DC, PLLC
• Complete LDP PLLC: (Complete Dental Care)
• Lindsey Conditt, NP
• Lyndie Conner
• Amanda Kaye Contino, PNP
• Deborah Tullos Cook, M.D.

• Infectious Disease Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.