CRESCENT INFECTIOUS DISEASES PLLC


Address: 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600
Phone: 8555412862

CRESCENT INFECTIOUS DISEASES PLLC (NPI# 1538501028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538501028
Entity Type Organization
Organization Name CRESCENT INFECTIOUS DISEASES PLLC
Practice Address 1111 N Lee Ave Ste 249
Oklahoma City
OK 73103-2600
Practice Telephone 8555412862
Practice Fax Number 4057164808
Mailing Telephone 8555412862
Mailing Fax Number 4057164808
Enumeration Date 2013-07-24
Last Update Date 2020-04-07
Authorized Official Name WAQAS HUSSAIN (OFFICE MANAGER)
Authorized Official Telephone 8555412862
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
29704 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK LICENSE 29704 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1104 E State Highway 152, Mustang, OK 730645116 4055633998

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396100152 Crescent Infectious Diseases Pllc Internal Medicine 5224 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2015-12-22

Office Location

Street Address 1111 N LEE AVE STE 249
City OKLAHOMA CITY
State OK
Zip Code 73103-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992008072 Arthritis & Rheumatology Center of Oklahoma Clinic/Center 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 2010-12-13
1053924308 Pathwrite, Inc. Home Infusion 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 2020-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568946846 Medical Center Pain Clinic, LLC Pain Medicine 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 2018-09-21
1801321369 Jessica Reed Community Health Worker 432 Nw11th St, Oklahoma City, OK 73103 2017-04-21
1982070975 Retinal Care Diagnostics LLC Ophthalmology 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 2015-08-13
1316329063 Nurturing Positive Solutions Marriage & Family Therapist 307 N. W. 21st Street, Oklahoma City, OK 73103 2015-06-18
1871916700 Good Shepherd Ministries Clinic/Center 222 Nw 12th Street, Oklahoma City, OK 73103 2014-01-29
1275973448 Christine Donnette Jeffers Case Manager/Care Coordinator 433 Nw 25 #10, Oklahoma, OK 73103 2013-07-02
1629327358 Kelly Rose Whelan Social Worker 416 Nw 23rd St, Oklahoma City, OK 73103 2012-09-10
1801160585 Susan Elizabeth Bigbie Registered Nurse 1214 N Hudson, Oklahoma City, OK 73103 2012-02-28
1548533441 Doris Gayle Poteet Licensed Practical Nurse 1214 N. Hudson, Oklahoma, OK 73103 2012-02-23
1538440698 Wendi J Rollins Case Manager/Care Coordinator 600 Nw 23, Suite 108, Oklahoma City, OK 73103 2011-09-02
Find all providers in zip 73103

Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629288980 Aline Brown M D P C Internal Medicine 3400 Nw Expressway St Ste 410, Oklahoma City, OK 73112-4491 2007-05-23
1629047683 Linda J Salinas Internal Medicine 920 Sl Young Blvd, Wp1160, Oklahoma City, OK 73104-5033 2006-03-14
1588640965 Karen K Kinney Internal Medicine 711 Stanton L Young Blvd, Ppb Suite 430, Oklahoma City, OK 73104-5023 2005-12-19
1316580798 Tamela Hamilton Internal Medicine 1000 Ne 10th St, Oklahoma City, OK 73117-1207 2019-10-18
1598124018 Cade Parke Internal Medicine 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 2016-02-11
1396100152 Crescent Infectious Diseases Pllc Internal Medicine 5224 E I 240 Service Rd, Oklahoma City, OK 73135-2607 2015-12-22
1295173029 Nikkia Edwards Internal Medicine 921 Ne 13th St, Oklahoma City, OK 73104 2013-06-14
1457794430 Janki Dhirubhai Amin Internal Medicine 920 Stanton L Young Blvd, Wp 1160, Oklahoma City, OK 73104-5036 2013-04-09
1982848719 Bushra Siddique Internal Medicine 5401 N Portland Ave, Suite 220, Oklahoma City, OK 73112-2121 2009-04-23
1245440056 David H Chansolme Md PC Internal Medicine 4221 S Western Ave, Suite 4010, Oklahoma City, OK 73109-3447 2007-05-23
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Competitor

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City OKLAHOMA CITY
Zip Code 73103

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Dataset Information

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.

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