Organization Active NPI

Asheville Infectious Disease Consultants PA

  • Specialist
  • Asheville, NC
National Provider Identifier
1952389447
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39428 Issued in NC
Legal business name
ASHEVILLE INFECTIOUS DISEASE CONSULTANTS PA
Practice address
53 S French Broad Ave
Suite 200
Asheville, NC 28801-3272
Phone
(828) 258-9635
Fax
(828) 258-9682
NPI assigned
Jan 4, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Lisa M Cooper
Title
Office Manager
Phone
(828) 258-9635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39428 NC Primary

Addresses

Primary practice location

53 S French Broad Ave
Suite 200
Asheville, NC 28801-3272

Mailing address

53 S French Broad Ave
Suite 200
Asheville, NC 28801-3272
Phone (828) 258-9635

Other identifiers 2

IdentifierTypeStateIssuer
01235OtherNCBCBS PROVIDER NUMBER
8901235MedicaidNC

National Provider Directory

National Provider Directory

Locations

53 S French Broad Ave
Ste 200
Asheville, NC 28801
Phone (828) 258-9635

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1952389447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S FRENCH BROAD AVE",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013272",
            "telephone_number": "828-258-9635",
            "fax_number": "828-258-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S FRENCH BROAD AVE",
            "address_2": "SUITE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013272",
            "telephone_number": "828-258-9635",
            "fax_number": "828-258-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEVILLE INFECTIOUS DISEASE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-258-9635"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01235",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.