Infectious Disease Consultants, Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

R4F74 Issued in MO

Legal business name

INFECTIOUS DISEASE CONSULTANTS, INC.

Practice address

621 S New Ballas Rd Ste 70B
Saint Louis, MO 63141-8251

Phone

(314) 251-5700

NPI assigned

Jul 10, 2006

Last updated

Oct 8, 2013By 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. Farrin A Manian, M.D., MPH

Title

President

Phone

(314) 251-5700

Specialties & licenses 1

Addresses

Other names 1

• DR. MANIAN, DR. JANSSEN Other name

Locations

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.

• Jad Antoine Khoury, M.D.

  • Infectious Disease Physician
  • Saint Louis, MO
  • NPI 1144250028
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1922032994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 70B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-251-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 70B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-251-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MANIAN",
        "authorized_official_first_name": "FARRIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-251-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "R4F74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. MANIAN, DR. JANSSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Infectious Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Infectious Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.