Organization Active NPI

Infectious Disease Care, PLC

  • Infectious Disease Physician
  • Glendale, AZ
National Provider Identifier
1891831228
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CARE, PLC
Practice address
4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660
Phone
(623) 974-6611
Fax
(623) 974-9434
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mr. Paul M Shanahan
Title
Billing Manager
Phone
(623) 974-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660

Mailing address

4410 W Union Hills Dr
Suite # 7-280
Glendale, AZ 85308-1660
Phone (623) 974-6611

Other identifiers 2

IdentifierTypeStateIssuer
1184706384OtherAZMEENAL PATEL, M.D. - NPI
906620MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4410 W Union Hills Dr
Ste 7280
Glendale, AZ 85308
Phone (623) 974-6611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1891831228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR",
            "address_2": "SUITE # 7-280",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-974-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR",
            "address_2": "SUITE # 7-280",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "623-974-6611",
            "fax_number": "623-974-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "623-974-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEENAL PATEL, M.D. - NPI",
            "identifier": "1184706384",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.