METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI# 1073854600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073854600 |
| Entity Type | Organization |
| Organization Name | METRO INFECTIOUS DISEASE CONSULTANTS, LLC |
| Other Organization Name | MIDC, LLC |
| Practice Address |
13657 W Mcdowell Rd Suite 118 Goodyear AZ 85395-2601 |
| Mailing Address |
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0871 |
| Practice Telephone | 6233287794 |
| Practice Fax Number | 6233287932 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6307344715 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MRS. TARA KOWALSKI (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8882206432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
========= | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 780223 | 05 |
| Other Name | Type Code |
|---|---|
| MIDC, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242778 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 2340 E Meyer Blvd Ste 348, Kansas City, MO 64132-1129 | 2018-07-20 |
| 1427619386 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 4601 W 109th St Ste 100, Overland Park, KS 66211-1313 | 2019-06-21 |
| 1659702223 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2013-12-09 |
| 1841530250 | Metro Infectious Disease Consultants, LLC | Home Infusion | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2013-02-21 |
| 1649510033 | Metro Infectious Disease Consultants, LLC | Pharmacy | 6704 Benjamin Rd, Suite 700, Tampa, FL 33634-4408 | 2013-02-21 |
| 1669797734 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 901 Mc Clintock Drive, Suite 202, Burr Ridge, IL 60527-0844 | 2010-04-01 |
| 1215184916 | Metro Infectious Disease Consultants, LLC | Home Infusion | 901 Mcclintock Drive, Suite 202, Burr Ridge, IL 60527-0844 | 2008-08-25 |
| 1235125717 | Metro Infectious Disease Consultants, LLC | Clinic/Center | 901 Mcclintock Dr, Suite 202, Burr Ridge, IL 60527-0844 | 2005-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | METRO INFECTIOUS DISEASE CONSULTANTS, LLC | 901 Mcclintock Drive, Burr Ridge, IL 60527 |
| Indiana Business Entities | METRO INFECTIOUS DISEASE CONSULTANTS, LLC | 901 Mcclintock Dr, Burr Ridge, IL 60527 |
| Street Address |
13657 W MCDOWELL RD SUITE 118 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545323 | Kay S Ahern | Physical Therapist | 13657 W Mcdowell Rd, Suite 218, Goodyear, AZ 85338-2601 | 2005-11-17 |
| 1548526171 | Samyuktha Sreenivasan | Internal Medicine | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2012-04-09 |
| 1003111030 | Phoenix Rheumatology Clinic, PC | Internal Medicine | 13657 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2601 | 2011-01-23 |
| 1316258403 | Jenette Denise Ratliff | Registered Nurse | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2010-06-23 |
| 1407178395 | Smi Imaging, LLC | Radiology | 13657 W Mcdowell Rd, Suite 111, Goodyear, AZ 85395-2601 | 2010-02-19 |
| 1245484294 | Michael Hyde Day | Dentist | 13657 W Mcdowell Rd, Suite 208, Goodyear, AZ 85395 | 2008-11-04 |
| 1891957569 | Anjaly B Curley | Radiology | 13657 W Mcdowell Rd, Suite 111, Simonmed Imaging, Goodyear, AZ 85395-2601 | 2008-06-25 |
| 1437349677 | Rajendra Chalasani | Internal Medicine | 13657 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395 | 2007-07-25 |
| 1477766525 | Cambridge Pulmonary Clinic Inc | Internal Medicine | 13657 W Mcdowell Rd, 204, Goodyear, AZ 85338-2601 | 2007-05-07 |
| 1740388578 | Steven Ting | Internal Medicine | 13657 W Mcdowell Rd, Ste 210, Goodyear, AZ 85395 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1225658750 | Arizona Valley Infectious Diseases Plc | Internal Medicine | 13531 E Ocotillo Rd, Scottsdale, AZ 85259-2316 | 2020-04-24 |
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1194026757 | John Gregory Corcoran | Internal Medicine | 5265 East Knight Drive, Tucson, AZ 85712 | 2010-11-12 |
| 1548574320 | Ahmad Mamdouh Ahmad Salameh | Internal Medicine | 13055 W Mcdowell Rd Ste E109, Avondale, AZ 85392-6457 | 2010-08-04 |
| 1194038505 | Logan Paolo Locsin Felix | Internal Medicine | 2001 W Orange Grove Rd Ste 404, Tucson, AZ 85704 | 2010-07-15 |
| 1942430418 | Nestor Varon Md PC | Internal Medicine | 29729 N 69th Ln, Peoria, AZ 85383-3185 | 2009-07-20 |
| 1780813725 | Georgiana Georgescu | Internal Medicine | 18301 N 79th Ave Ste C136, Glendale, AZ 85308-8471 | 2009-07-13 |
| 1811126303 | Sudha Nagalingam | Internal Medicine | 1230 S Cherrybell Stra, Tucson, AZ 85713-1907 | 2009-07-06 |
| 1417117920 | Michael Amoa Asare LLC | Internal Medicine | 3555 Val Vista Drvie, Mercy Gilbert Hospital, Gilbert, AZ 85296 | 2008-06-10 |
| 1154594695 | Joseph K Zachariah, Do, PC | Internal Medicine | 4723 E Desert Park Pl, Paradise Valley, AZ 85253-2949 | 2008-04-04 |
| 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.