Northwest Infectious Disease and Travel Medicine, P.a.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NORTHWEST INFECTIOUS DISEASE AND TRAVEL MEDICINE, P.A.

Practice address

5509 Cornish St.
Houston, TX 77007-4303

Phone

(713) 831-5089

Fax

(713) 360-7715

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Pornthep Wattanamano, M.D.NPI 1295738516

Title

President

Phone

(713) 384-3229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Pornthep Wattanamano, MD

  • Infectious Disease Physician
  • San Diego, CA
  • NPI 1295738516
  NPD Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861496309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 CORNISH ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074303",
            "telephone_number": "713-831-5089",
            "fax_number": "713-360-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 CORNISH ST.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074303",
            "telephone_number": "713-831-5089",
            "fax_number": "713-360-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INFECTIOUS DISEASE AND TRAVEL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "WATTANAMANO",
        "authorized_official_first_name": "PORNTHEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-384-3229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171630001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Houston Prosthodontics
• Northwest Houston Psychiatry PLLC
• Northwest Houston Surgery Center, LLC.
• Northwest Houston Wellness Center
• Northwest Hyperbaric Specialists PA
• Northwest Infectious Disease and Travel Medicine, PA
• Northwest Injury & Wellness Center
• Northwest Internal Medicine Specialists PLLC
• Northwest Med Care PA
• Northwest Med Group

• 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 Jul 21, 2022; 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.