Organization Active NPI

Infectious Disease Associates and Travel Medicine PLLC

  • Infectious Disease Physician
  • Gainesville, FL
National Provider Identifier
1710455191
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE ASSOCIATES AND TRAVEL MEDICINE PLLC
Practice address
3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127
Phone
(352) 225-3650
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Wendy M Garlington, MDNPI 1346403433
Title
Physician Owner
Phone
(352) 225-3650

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127

Mailing address

3600 NW 43Rd St Ste D2
Gainesville, FL 32606-8127
Phone (352) 225-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181226001533 FL Part B Supplier - Clinic/Group Practice 2860737673 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2228204Infectious Disease Associates & Travel Medicine3600 NW 43Rd St. Ste D-2, Gainesville, FL 32606Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1710455191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE D2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068127",
            "telephone_number": "352-225-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE D2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068127",
            "telephone_number": "352-225-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE ASSOCIATES AND TRAVEL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "GARLINGTON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "352-225-3650",
        "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": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.