Active NPI
Synergy Infectious Disease
- Infectious Disease Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- SYNERGY INFECTIOUS DISEASE
- Practice address
- 1600 W Chandler Blvd
Suite 160
Chandler, AZ 85224-6153 - Phone
- (480) 907-6337
- Fax
- (480) 621-8107
- NPI assigned
- Aug 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob S Oommen, M.D.
- Title
- President
- Phone
- (480) 907-6337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
1600 W Chandler Blvd
Suite 160
Chandler, AZ 85224-6153
Mailing address
PO Box 20490
Mesa, AZ 85277-0490
Phone (480) 985-1093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1600 W Chandler Blvd
Ste 160
Chandler, AZ 85224
Phone (480) 899-1696
2151 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 676-3322
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Scottsdale, AZ
- NPI 1720020431
-
- Infectious Disease Physician
- Chandler, AZ
- NPI 1801883640
-
- Infectious Disease Physician
- Paradise Valley, AZ
- NPI 1154373793
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1922234228
AZ, Infectious Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314576000000",
"number": "1609157197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20490",
"city": "MESA",
"state": "AZ",
"postal_code": "852770490",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD",
"address_2": "SUITE 160",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246153",
"telephone_number": "480-907-6337",
"fax_number": "480-621-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY INFECTIOUS DISEASE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A",
"authorized_official_last_name": "OOMMEN",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-907-6337",
"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": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.