PULMONARY CONSULTANTS INC.
Complete NPI Record 1720199284
Internal Medicine - Pulmonary Disease in Upland, PA
NPI Status: Active since August 31, 2006
Contact Information
ONE MEDICAL CENTER BLVD
SUITE 422
UPLAND, PA
ZIP 19013
Phone: (610) 619-7460
Fax: (610) 876-9502
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider First Line Business Mailing Address
- Provider Second Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Second Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Middle Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Healthcare Provider Taxonomy Code 2
- Provider License Number State Code 2
- Healthcare Provider Primary Taxonomy Switch 2
- Other Provider Identifier 1
- Other Provider Identifier Type Code 1
- Other Provider Identifier State 1
- Is Organization Subpart
- Authorized Official Name Prefix Text
- Authorized Official Credential Text
- Healthcare Provider Taxonomy Group 1
- Healthcare Provider Taxonomy Group 2
Complete NPI Dataset
This page represents the complete record for NPI 1720199284. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1720199284
- Entity Type Code: 2
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: UNAVAIL
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: PULMONARY CONSULTANTS INC.
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: ONE MEDICAL CENTER BLVD
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Second Line Business Mailing Address: POB II SUITE 422
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address City Name: UPLAND
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address Postal Code: 19013
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Telephone Number: 6106197460
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Mailing Address Fax Number: 6108769502
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider First Line Business Practice Location Address: ONE MEDICAL CENTER BLVD
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 422
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: UPLAND
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 19013
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Country Code If outside U S : US
- The fax number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6106197460
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Business Practice Location Address Fax Number: 6108769502
- The date that a record was last updated or changed.
- Provider Enumeration Date: 8/31/2006
- The code designating the provider’s gender if the provider is a person.
- Last Update Date: 8/1/2018
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- The middle name of the authorized official.
- The title or position of the authorized official.
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207RP1001X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N
- Healthcare Provider Taxonomy Code 2: 207RP1001X
- Provider License Number State Code 2: PA
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 2: Y
- Other Provider Identifier 1: 0006759710002
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 1: 05
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 1: PA
- Is Organization Subpart: N
- Healthcare Provider Taxonomy Group 1: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
- Healthcare Provider Taxonomy Group 2: 193400000X MULTIPLE SINGLE SPECIALTY GROUP