Active NPI
Mainland Infectious Disease Associates, P.a.
- Infectious Disease Physician
- Texas City, TX
National Provider Identifier
1710165485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- J9932
- Legal business name
- MAINLAND INFECTIOUS DISEASE ASSOCIATES, P.A.
- Practice address
- 1125 Highway 3 N Ste 100a
Texas City, TX 77591-4047 - Phone
- (409) 539-6278
- Fax
- (409) 419-1108
- NPI assigned
- Feb 5, 2008
- 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
- William Scott Warner, M.D.
- Title
- Owner
- Phone
- (409) 370-1087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | J9932 | TX | Primary |
Addresses
Primary practice location
1125 Highway 3 N Ste 100a
Texas City, TX 77591-4047
Mailing address
PO Box 57579
Webster, TX 77598-7579
Phone (409) 370-1087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH4054 | Other | TX | PALMETTO GBA |
| 209594501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1125 Highway 3 N
Ste 100
Texas City, TX 77591
Phone (409) 539-6278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Texas City, TX
- NPI 1376594259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1710165485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57579",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775987579",
"telephone_number": "409-370-1087",
"fax_number": "409-419-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 HIGHWAY 3 N STE 100A",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775914047",
"telephone_number": "409-539-6278",
"fax_number": "409-419-1108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINLAND INFECTIOUS DISEASE ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-370-1087",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "J9932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "CH4054",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209594501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.