Organization Active NPI

Infectious Disease & Epidemiology Associates PC

  • Infectious Disease Physician
  • Omaha, NE
National Provider Identifier
1619116183
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE & EPIDEMIOLOGY ASSOCIATES PC
Practice address
17030 Lakeside Hills PLZ
Suite 202
Omaha, NE 68130-2396
Phone
(402) 343-8780
Fax
(402) 343-8787
NPI assigned
Feb 6, 2009
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Sandy L Michel
Title
Credentialing
Phone
(402) 361-5284

Specialties & licenses 1

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

Addresses

Primary practice location

17030 Lakeside Hills PLZ
Suite 202
Omaha, NE 68130-2396

Mailing address

7710 Mercy Rd
Suite 332
Omaha, NE 68124-2372
Phone (402) 343-8780

National Provider Directory

National Provider Directory

Locations

4239 Farnam St
Ste 710
Omaha, NE 68131
Phone (402) 552-4025

4242 Farnam St
Ste 145
Omaha, NE 68131
Phone (402) 552-2100

7710 Mercy Rd
Ste 332
Omaha, NE 68124
Phone (402) 399-9851

Practitioners & affiliated clinicians

Practitioners 8

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": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1619116183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD",
            "address_2": "SUITE 332",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242372",
            "telephone_number": "402-343-8780",
            "fax_number": "402-343-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ",
            "address_2": "SUITE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-343-8780",
            "fax_number": "402-343-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE & EPIDEMIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "402-361-5284"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.