Active NPI
Tri-County Pulmonary & Multi-Specialty Group P a
- Pulmonary Disease Physician
- The Villages, FL
National Provider Identifier
1003890294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262056100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Lady Lake, FL
- NPI 1629092564
Pulmonary Disease
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.