Provider Type Icon

ID CONSULTANTS OF NORTHEAST OHIO INC NPI 1255913117


NPI Information

NPI: 1255913117
Provider Name: ID CONSULTANTS OF NORTHEAST OHIO, INC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 36D2264906

Address:
3609 PARK EAST DR STE 207
BEACHWOOD, OH
ZIP 44122
Phone: (216) 360-0456
Get Directions

ID CONSULTANTS OF NORTHEAST OHIO, INC is an infectious disease internal medicine in Beachwood, OH. The provider is 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. ID CONSULTANTS OF NORTHEAST OHIO, INC NPI is 1255913117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3609 PARK EAST DR STE 207
BEACHWOOD, OH
ZIP 44122-309
Phone: (216) 360-0456
Fax: (216) 360-9449

The provider's authorized official is Vimala Shakar .
The authorized official title is Admin and has the following contact phone number (216) 702-6600.

The CLIA number assigned to this NPI record is 36D2264906 - other - infusion center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 4/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.