Gwinnett Infectious Diseases PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

GWINNETT INFECTIOUS DISEASES PC

Practice address

1960 Riverside Pkwy
Suite 101
Lawrenceville, GA 30043-5945

Phone

(770) 995-0466

Fax

(770) 995-0472

NPI assigned

Oct 26, 2006

Last updated

Jul 23, 2012By 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. Elliot G Raizes, MDNPI 1912913740

Title

President

Phone

(770) 995-0466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Elliot G Raizes, MD

  • Infectious Disease Physician
  • Lawrenceville, GA
  • NPI 1912913740
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1679658702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-995-0466",
            "fax_number": "770-995-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-995-0466",
            "fax_number": "770-995-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT INFECTIOUS DISEASES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "RAIZES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-995-0466",
        "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": []
}

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• Infectious Disease Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.