Springfield Infectious Diseases LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

35083321 Issued in OH

Legal business name

SPRINGFIELD INFECTIOUS DISEASES LLC

Practice address

1174 E Home Rd
Suite N
Springfield, OH 45503-2726

Phone

(937) 322-7260

Fax

(937) 398-0358

NPI assigned

Jul 16, 2006

Last updated

Dec 12, 2007By 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

Sameer Burmawala Ismailjee, MD

Title

Owner

Phone

(937) 322-7260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1740207786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E HOME RD",
            "address_2": "SUITE N",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-322-7260",
            "fax_number": "937-398-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E HOME RD",
            "address_2": "SUITE N",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-322-7260",
            "fax_number": "937-398-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD INFECTIOUS DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ISMAILJEE",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "BURMAWALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-322-7260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35083321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Healthcare Group Inc (Springfield Nursing and Independent Living)
• Springfield Healthcare Group Inc (Springfield Assisted Living)
• Springfield Healthcare LLC
• Springfield Heart Surgeons LLC
• Springfield Hematology and Oncology Associates, Inc
• Springfield Masonic Community (Springfield Masonic Community - Laboratory)
• Springfield Metropolitan Housing Authority
• Springfield Opco, LLC (Arbors at Springfield)
• Springfield Orthopaedic and Sports Medicine Institute LLC
• Springfield Pediatric Dentistry

• Infectious Disease Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.