METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI# 1598242778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598242778 |
| Entity Type | Organization |
| Organization Name | METRO INFECTIOUS DISEASE CONSULTANTS, LLC |
| Other Organization Name | MIDC |
| Practice Address |
2340 E Meyer Blvd Ste 348 Kansas City MO 64132-1129 |
| Mailing Address |
901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872 |
| Practice Telephone | 8164447977 |
| Practice Fax Number | 8163618938 |
| Mailing Telephone | 8882206432 |
| Mailing Fax Number | 6306544253 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | RUSSELL M PETRAK (MANAGING PARTNER) |
| 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 |
MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502397706 | 05 |
| Other Name | Type Code |
|---|---|
| MIDC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073854600 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 13657 W Mcdowell Rd, Suite 118, Goodyear, AZ 85395-2601 | 2013-03-06 |
| 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 |
2340 E MEYER BLVD STE 348 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| 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 |
|---|---|---|---|---|
| 1629523287 | Raed Jabr | Internal Medicine | 3952 Adams St Apt 12, Kansas City, KS 66103-2958 | 2016-08-23 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1528164217 | Mid America Infectious Disease Consultants PC | Internal Medicine | 3215 Main St Ste 100b, Kansas City, MO 64111-1946 | 2006-09-16 |
| 1356451603 | Sarah E. Boyd | Internal Medicine | 5844 Nw Barry Rd Ste 300, Kansas City, MO 64154-1483 | 2006-08-30 |
| 1225092372 | John Clayton Verstraete | Internal Medicine | 3215 Main St, Ste 100b, Kansas City, MO 64111-2645 | 2006-04-14 |
| 1366405078 | David S. Mckinsey | Internal Medicine | 2340 E Meyer Blvd Bldg 2, Suite 348, Kansas City, MO 64132-1105 | 2006-04-11 |
| 1659354736 | Fernando Merino | Internal Medicine | 3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028, Kansas City, KS 66160 | 2005-11-22 |
| 1043664675 | Rinda Mousa | Internal Medicine | 3901 Rainbow Boulevard, 6070 Delp Ms 1028, Kansas City, KS 66160 | 2016-04-20 |
| 1003298811 | Lucas Vocelka | Internal Medicine | 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132-6413 | 2015-06-29 |
| 1407242357 | Ryan Craig Kubat | Internal Medicine | 3901 Rainbow Blvd, Medical Office Bldg, Level 4, Kansas City, KS 66160 | 2015-04-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
Please comment or provide details below to improve the information on METRO INFECTIOUS DISEASE CONSULTANTS, LLC.
| 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.