Metro Infusion Center PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

METRO INFUSION CENTER PLLC

Practice address

311 Bullard Pkwy Ste a
Temple Terrace, FL 33617-5543

Phone

(877) 448-3627

Fax

(866) 507-1164

NPI assigned

May 23, 2018

Last updated

Oct 31, 2019By 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

Dr. Russell M Petrak, MDNPI 1376539692

Title

Managing Partner

Phone

(630) 655-7290

Specialties & licenses 1

Addresses

Locations (25 of 72)

Practitioners 11

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.

• Russell M Petrak, MD

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1376539692
  NPD Authorized official
• Fides D Antonio, NP

  • Nurse Practitioner
  • Walnut Creek, CA
  • NPI 1609462845
  NPD (past)
• Andre Cristian De Jesus, RN, FNP, MBA

  • Family Nurse Practitioner
  • Murrieta, CA
  • NPI 1023549037
  NPD (past)
• Maithe Enriquez, APRN

  • Adult Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1689622417
  NPD (past)
• Jared Frisby, DO

  • Infectious Disease Physician
  • Overland Park, KS
  • NPI 1649706243
  NPD (past)
• Ltrice Trinette Gulley, APN

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1922660174
  NPD (past)
• Apoorv Yashpal Kalra, MD

  • Infectious Disease Physician
  • Overland Park, KS
  • NPI 1740497122
  NPD (past)
• Ramesh V Nathan, MD

  • Infectious Disease Physician
  • Thousand Oaks, CA
  • NPI 1215025291
  NPD (past)
• Bala S. Somayaji, MD

  • Infectious Disease Physician
  • Kansas City, MO
  • NPI 1407868268
  NPD (past)
• Keith E Trammell, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1437785672
  NPD (past)
• Christine Wynns-Delcambre, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Lubbock, TX
  • NPI 1376941542
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1659862860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BULLARD PKWY STE A",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175543",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Greenwich Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582892",
            "country_code": "US",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO INFUSION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "PETRAK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "630-655-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelizza's Mercedes
• Jaiyel Merilus, BEHAVIOR TECHNICIAN
• Lily Hannah Mestuzzi
• Metamorphosis Life Revitalizing Center
• Metcare of Florida Inc. (Clinical Care Fowler)
• Miami Beach Medical Consultants, LLC. (Clinical Care Medical Centers)
• Midway Specialty Care RX LLC.
• Alex Elliott Mierke, M. D.
• Mark A Mighell, MD
• Adeel H Mikael, MD

• Infectious Disease Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.