Organization Active NPI

Tri-County Pulmonary & Multi-Specialty Group P a

  • Pulmonary Disease Physician
  • The Villages, FL
National Provider Identifier
1003890294
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP P A
Practice address
1507 Buenos Aires Blvd
The Villages, FL 32159-8974
Phone
(352) 350-1600
Fax
(352) 750-8032
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dan Arsenijevith
Title
Business Administrator
Phone
(352) 350-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1507 Buenos Aires Blvd
The Villages, FL 32159-8974

Mailing address

1507 Buenos Aires Blvd
The Villages, FL 32159-8974
Phone (352) 350-1600

Other identifiers 1

IdentifierTypeStateIssuer
262056100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1501 N US Highway 441
Ste 1706
The Villages, FL 32159
Phone (350) 350-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003890294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BUENOS AIRES BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-350-1600",
            "fax_number": "352-750-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BUENOS AIRES BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-350-1600",
            "fax_number": "352-750-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY PULMONARY & MULTI-SPECIALTY GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ARSENIJEVITH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "352-350-1556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262056100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.