COMMONWEALTH INFECTIOUS DISEASE PSC (NPI# 1649232026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649232026 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH INFECTIOUS DISEASE PSC |
| Practice Address |
3910 S Dupont Sq Suite A Louisville KY 40207-4615 |
| Mailing Address |
Po Box 32172 Louisville KY 40232-2172 |
| Practice Telephone | 5028968299 |
| Mailing Telephone | 5028968299 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | ERIC XIA (PRESIDENT) |
| Authorized Official Telephone | 8129485159 |
| 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 |
33270 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65905838 | 05 |
| Street Address |
3910 S DUPONT SQ SUITE A |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999131 | Thomas J Spech | Internal Medicine | 3910 S Dupont Sq, Suite A, Louisville, KY 40207-4615 | 2006-04-05 |
| 1346202264 | Eric Liang Xia | Internal Medicine | 3910 S Dupont Sq, Suite A, Louisville, KY 40207-4615 | 2006-04-05 |
| 1710949623 | John F Cooper | Internal Medicine | 3910 S Dupont Sq, Suite A, Louisville, KY 40207-4615 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1962684993 | Merilda Onyfel Blanco-guzman | Internal Medicine | 234 E Gray St Ste 768, Louisville, KY 40202-1901 | 2007-11-30 |
| 1003003351 | Medicine Pllc | Internal Medicine | 15103 Chestnut Ridge Cir, Louisville, KY 40245-5291 | 2007-10-01 |
| 1225049661 | Barbara T Wojda | Internal Medicine | 125 Fairfax Ave, Louisville, KY 40207-4905 | 2006-08-10 |
| 1225016983 | Julio Ramirez | Internal Medicine | 501 E Broadway, #120, Louisville, KY 40202-1785 | 2006-01-04 |
| 1649260993 | Paul S Schulz | Internal Medicine | 4950 Norton Healthcare Blvd Ste 303, Louisville, KY 40241-2848 | 2005-10-27 |
| 1477165975 | Sv Infectious Disease Consultants | Internal Medicine | 1313 Saint Anthony Pl, Louisville, KY 40204-1740 | 2020-08-18 |
| 1043869233 | Dr Syed A Khader Pllc | Internal Medicine | 4420 Dixie Hwy Ste 130, Louisville, KY 40216-2995 | 2019-09-10 |
| 1972962769 | Eudaimonia Pllc | Internal Medicine | 1313 Saint Anthony Pl, Louisville, KY 40204-1740 | 2016-02-22 |
| 1184983306 | Martin Leonardo Gnoni | Internal Medicine | 501 E Broadway, Suite #380, Louisville, KY 40202-1785 | 2012-05-08 |
| 1477828580 | University of Louisville Phyisicians, Inc. | Internal Medicine | 401 E Chestnut St, Suite 310, Louisville, KY 40202-5700 | 2012-03-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on COMMONWEALTH INFECTIOUS DISEASE PSC.
| 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.