Organization Active NPI

Infectious Disease Cons LLC

  • Specialist
  • East Stroudsburg, PA
National Provider Identifier
1891824819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INFECTIOUS DISEASE CONS LLC
Practice address
100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144
Phone
(570) 421-8196
Fax
(570) 476-6213
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan S Hawk
Title
Billing MGR
Phone
(570) 421-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144

Mailing address

401 Main St
Stroudsburg, PA 18360-2404
Phone (570) 421-8196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891824819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602404",
            "telephone_number": "570-421-8196",
            "fax_number": "570-476-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-8196",
            "fax_number": "570-476-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "570-421-8196"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.