Organization Active NPI

Pasco Pulmonary Medical Center Inc

  • Pulmonary Disease Physician
  • New Port Richey, FL
National Provider Identifier
1043341886
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME51235 Issued in FL
Legal business name
PASCO PULMONARY MEDICAL CENTER INC
Practice address
5522 Trouble Creek Rd
Suite 102
New Port Richey, FL 34652-5171
Phone
(727) 847-2847
Fax
(727) 847-9102
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Naresh C Jain
Title
Administrator
Phone
(727) 847-2847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME51235 FL Primary

Addresses

Primary practice location

5522 Trouble Creek Rd
Suite 102
New Port Richey, FL 34652-5171

Mailing address

5522 Trouble Creek Rd
Suite 102
New Port Richey, FL 34652-5171
Phone (727) 847-2847

Other identifiers 2

IdentifierTypeStateIssuer
038511500MedicaidFL
ME51235OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

5522 Trouble Creek Rd
Ste 102
New Prt Rchy, FL 34652
Phone (727) 788-3070

5522 Trouble Creek Rd
#R
New Prt Rchy, FL 34652
Phone (813) 847-2847

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1043341886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-847-2847",
            "fax_number": "727-847-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TROUBLE CREEK RD",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525171",
            "telephone_number": "727-847-2847",
            "fax_number": "727-847-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO PULMONARY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "NARESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-847-2847"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME51235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038511500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME51235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.