WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C. (NPI# 1043720600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043720600 |
| Entity Type | Organization |
| Organization Name | WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C. |
| Practice Address |
2030 Mountain View Ave Ste 540 Longmont CO 80501-3183 |
| Mailing Address |
Po Box 1449 Wheat Ridge CO 80034-1449 |
| Practice Telephone | 3034259245 |
| Practice Fax Number | 7206308591 |
| Mailing Telephone | 3034259245 |
| Mailing Fax Number | 3034251378 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | RUTH M SMITH (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3034259245 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04007191 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1225430325 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 3303 W 144th Ave, Suite 103, Broomfield, CO 80023-9464 | 2014-09-19 |
| 1598828949 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| Street Address |
2030 MOUNTAIN VIEW AVE STE 540 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932362647 | Elizabeth Keller Hackenberger | Nurse Practitioner | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2008-07-03 |
| 1336769173 | Poudre Valley Medical Group, LLC | Internal Medicine | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2020-04-22 |
| 1669939823 | Daniel Stepan | Physician Assistant | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394401 | Catholic Health Initiatives Colorado | Internal Medicine | 2030 Mountain View Ave Ste 310, Longmont, CO 80501-3181 | 2020-07-28 |
| 1770048845 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959637 | Gtg Colorado LLC | Internal Medicine | 1959 Wewatta St Unit 516, Denver, CO 80202-6624 | 2020-10-11 |
| 1497368674 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1255985388 | James Joseph Marr Jr. | Internal Medicine | 14885 Irving St, Broomfield, CO 80023-9409 | 2019-07-26 |
| 1659728087 | Clay Watson Md Pllc | Internal Medicine | 3800 Buchtel Blvd, #100984, Denver, CO 80250-7501 | 2016-05-16 |
| 1578909032 | Kathryn Lee Springer M.d. P.C. | Internal Medicine | 950 E Harvard Ave Ste 690, Denver, CO 80210-7011 | 2013-05-10 |
| 1588925044 | Benjamin Harrold White | Internal Medicine | 3303 W 144th Ave Unit 103, Broomfield, CO 80023-9464 | 2012-05-31 |
| 1891060935 | Sharma PC | Internal Medicine | 10604 Chadsworth Ln, Highlands Ranch, CO 80126-7508 | 2012-03-21 |
| 1356641500 | Kenneth F Baum Md PC | Internal Medicine | 73 Jasmine St, Denver, CO 80220-5910 | 2010-10-21 |
| 1720317746 | Jacob Thomas Cross Jr. | Internal Medicine | 4320 Grantham Ct, Colorado Springs, CO 80906-4365 | 2009-12-22 |
| 1649504085 | Jatinbhai J Patel | Internal Medicine | 4737 Eagleridge Cir, Apt#203, Pueblo, CO 81008-2199 | 2009-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.