Kentuckianna Infectious Diseases Consultants PSC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

29673 Issued in KY

Legal business name

KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC

Practice address

125 Fairfax Ave
Louisville, KY 40207-4905

Phone

(502) 895-6155

Fax

(502) 895-6156

NPI assigned

Aug 11, 2006

Last updated

Mar 13, 2015By 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. Barbara T Wojda, M.D.NPI 1225049661

Title

Owner

Phone

(502) 895-6155

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Barbara T Wojda, M.D.

  • Infectious Disease Physician
  • Louisville, KY
  • NPI 1225049661
  Authorized official Same address or phone

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1811908189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FAIRFAX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074905",
            "telephone_number": "502-895-6155",
            "fax_number": "502-895-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FAIRFAX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074905",
            "telephone_number": "502-895-6155",
            "fax_number": "502-895-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANNA INFECTIOUS DISEASES CONSULTANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WOJDA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-895-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "29673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64296734",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ ANTHEM",
            "identifier": "000000228821",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1054531",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200209850A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Infectious Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.