NPIMap

Organization Active NPI

Infectious Disease Physicians, LLC

  • Infectious Disease Physician
  • Dayton, OH
National Provider Identifier
1538450580
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35-086960 Issued in OH
Legal business name
INFECTIOUS DISEASE PHYSICIANS, LLC
Practice address
3864 Maple Grove LN
Dayton, OH 45440-4502
Phone
(937) 238-9583
Fax
(937) 238-9583
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Wissam Sabbagh, M.D.
Title
Owner
Phone
(937) 238-9583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35-086960 OH Primary

Addresses

Primary practice location

3864 Maple Grove LN
Dayton, OH 45440-4502

Mailing address

3864 Maple Grove LN
Dayton, OH 45440-4502
Phone (937) 238-9583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1538450580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 MAPLE GROVE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454404502",
            "telephone_number": "937-238-9583",
            "fax_number": "937-238-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 MAPLE GROVE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454404502",
            "telephone_number": "937-238-9583",
            "fax_number": "937-238-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-238-9583",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35-086960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.