| Infectious Disease Consultants Inc | |
|
20 Medical Village Dr Suite 355 Edgewood KY 41017-5401 | |
| (859) 344-1512 | |
| (859) 331-3698 |
| Full Name | Infectious Disease Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Medical Village Dr, Edgewood, Kentucky |
| Authorized Official Name and Position | Dora V Savani (MANAGER) |
| Authorized Official Contact | 8593440512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Inc 20 Medical Village Dr Suite 355 Edgewood KY 41017-5401 Ph: (859) 344-1512 | Infectious Disease Consultants Inc 20 Medical Village Dr Suite 355 Edgewood KY 41017-5401 Ph: (859) 344-1512 |
| NPI Number | 1033154919 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 0749243806 |
|---|---|
| Medicare Enrollment ID | O20041109000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033154919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | John C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369934 PECOS PAC ID: 6901835982 Enrollment ID: I20050810000358 |
| Provider Name | Roger E Teller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992747372 PECOS PAC ID: 5698874808 Enrollment ID: I20070628000044 |
| Provider Name | Vidya Devarajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063658623 PECOS PAC ID: 0941482152 Enrollment ID: I20110309000656 |
| Provider Name | Dora Savani-blackham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730121237 PECOS PAC ID: 1557444023 Enrollment ID: I20120223000849 |
| Provider Name | Olivia K Stevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962080440 PECOS PAC ID: 5991102758 Enrollment ID: I20210921001418 |
Orthocincy Orthopaedics & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-301-0655 | |
Alternative And Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Medical Village Dr, Edgewood, KY 41017 Phone: 859-341-2044 | |
St. Elizabeth Center For Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Premier Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Thomas More Pkwy, Ste 203, Edgewood, KY 41017 Phone: 859-341-5757 Fax: 859-331-4757 |