Southwest Infectious Disease, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G2108 Issued in TX

Legal business name

SOUTHWEST INFECTIOUS DISEASE, PA

Practice address

2603 Oak Lawn Ave
Suite 210
Dallas, TX 75219-4021

Phone

(214) 396-4201

Fax

(469) 453-3335

NPI assigned

Jan 16, 2012

Last updated

Jan 16, 2012By 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

Nicholaos C Bellos, M.D.NPI 1962471128

Title

Ceo

Phone

(214) 396-4201

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nicholaos C Bellos, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1962471128
  Authorized official Same address or phone
• Rebecca Diane Martin, D.N.P,

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1952689234
  NPD (past)

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1992076491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 OAK LAWN AVE",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194021",
            "telephone_number": "214-396-4201",
            "fax_number": "469-453-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 OAK LAWN AVE",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194021",
            "telephone_number": "214-396-4201",
            "fax_number": "469-453-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INFECTIOUS DISEASE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "BELLOS",
        "authorized_official_first_name": "NICHOLAOS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-396-4201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "G2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Dallas Orthopedic Asst PA
• Southwest Electrodiagnostic Center LLC
• Southwest ENT Associates PA
• Southwest General Surgical Associates, PA
• Southwest Imaging and Interventional Specialists, P.a.
• Southwest Infusion, LLC
• Southwest Injury Center (Dr Gerald J Hardy DC)
• Southwest Joint Pain Management, LLC
• Southwest Laboratories LLC
• Southwest Personal Care

• Infectious Disease Physician in Dallas, TX
• Providers in Dallas, 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 Jan 16, 2012; 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.