WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C. (NPI# 1225430325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225430325 |
| Entity Type | Organization |
| Organization Name | WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C. |
| Practice Address |
3303 W 144th Ave Suite 103 Broomfield CO 80023-9464 |
| Mailing Address |
Po Box 1449 Wheat Ridge CO 80034-1449 |
| Practice Telephone | 3034259245 |
| Practice Fax Number | 3034251378 |
| Mailing Telephone | 3034259245 |
| Mailing Fax Number | 3034251378 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | JEFFREY A. DESJARDIN (PHYSICIAN/ PRESIDENT) |
| Authorized Official Telephone | 3034259245 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| 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 | |
| MEDICARE GROUP NUMBER | C97408 | 01 |
| 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 |
| 1043720600 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2017-10-09 |
| 1598828949 | Western Infectious Disease Consultants, P.C. | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2006-12-18 |
| Street Address |
3303 W 144TH AVE SUITE 103 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80023-9464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927496 | Impact Sports Medicine PC | Clinic/Center | 3303 W 144th Ave, Suite 105, Broomfield, CO 80023-9464 | 2006-10-17 |
| 1902255466 | Gina Lynn Mcclaflin | Speech-Language Pathologist | 3303 W 144th Ave, Suite 207, Broomfield, CO 80023-9464 | 2016-06-06 |
| 1255733374 | Western Infectious Disease Infusion Center, Inc. | Internal Medicine | 3303 W 144th Ave, Suite 103, Broomfield, CO 80023-9464 | 2014-09-19 |
| 1417364332 | Children Matter LLC | Speech-Language Pathologist | 3303 W 144th Ave, Suite 207, Broomfield, CO 80023-9464 | 2014-07-14 |
| 1609290394 | Ryan K. Warhurst, Dc, PC | Chiropractor | 3303 W 144th Ave, Suite 104, Broomfield, CO 80023-9464 | 2014-02-14 |
| 1164551347 | Ryan Warhurst | Chiropractor | 3303 W 144th Ave, Suite 104, Broomfield, CO 80023-9464 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| 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 |
|---|---|---|---|---|
| 1255985388 | James Joseph Marr Jr. | Internal Medicine | 14885 Irving St, Broomfield, CO 80023-9409 | 2019-07-26 |
| 1588925044 | Benjamin Harrold White | Internal Medicine | 3303 W 144th Ave Unit 103, Broomfield, CO 80023-9464 | 2012-05-31 |
| 1255733374 | Western Infectious Disease Infusion Center, Inc. | Internal Medicine | 3303 W 144th Ave, Suite 103, Broomfield, CO 80023-9464 | 2014-09-19 |
| 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 |
| 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 |
| 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 |
| 1285897850 | Lindsay K Nicholson | Internal Medicine | 1700 Wheeling St (111l), Aurora, CO 80045 | 2008-07-03 |
| 1861653107 | Dana Thayer Lerman | Internal Medicine | 4567 E 9th Ave Ste 740, Denver, CO 80220-3908 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
| City | BROOMFIELD |
| Zip Code | 80023 |
Please comment or provide details below to improve the information on WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C..
| 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.