Houston Infectious Disease Associated

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

H9045 Issued in TX

Legal business name

HOUSTON INFECTIOUS DISEASE ASSOCIATED

Practice address

6624 Fannin St
Suite 1410
Houston, TX 77030-2312

Phone

(713) 791-4882

Fax

(713) 791-4159

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Susan J. Burgert, M.D.

Title

Owner

Phone

(713) 791-4882

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Houston Infectious Disease Associated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Houston Infectious Diseases Associated

  • Infectious Disease Physician
  • Houston, TX
  • NPI 1033221213
  NPD tax ID

Locations

Practitioners 1

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

• Susan J Burgert-Abene, MD

  • Infectious Disease Physician
  • Houston, TX
  • NPI 1497810303
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1770639478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 1410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-791-4882",
            "fax_number": "713-791-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 1410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-791-4882",
            "fax_number": "713-791-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON INFECTIOUS DISEASE ASSOCIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BURGERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-791-4882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "H9045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00QW03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CS4960",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084604001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Houston Hospice Physicians
• Houston Hospitalist Associates, PLLC
• Houston Housecalls
• Houston Housecalls PLLC
• Houston Id Physician, P.a.
• Houston Infectious Diseases Associated
• Houston Infectious Diseases Inpatient Consultants
• Houston Injury & Rehab Center Inc.
• Houston Injury & Rehab Center, Inc
• Houston Injury & Wellness Clinic, PLLC

• Infectious Disease Physician in Houston, TX
• Providers in Houston, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.