Active NPI
Pulmonary & Sleep Clinic
- Pulmonary Disease Physician
- St George, UT
National Provider Identifier
1114390846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 6996337-1205
- Legal business name
- PULMONARY & SLEEP CLINIC
- Practice address
- 2019 E Riverside Dr
St George, UT 84790-8134 - Phone
- (435) 656-1699
- Fax
- (435) 656-1699
- NPI assigned
- Nov 3, 2015
- 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
- Dr. Carl P Hallenborg, MD
- Title
- Owner/Physician
- Phone
- (435) 669-7046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 6996337-1205 | UT | Primary |
Addresses
Primary practice location
2019 E Riverside Dr
St George, UT 84790-8134
Mailing address
2019 E Riverside Dr
St George, UT 84790-8134
Phone (435) 656-1699
National Provider Directory
National Provider DirectoryLocations
2019 E Riverside Dr
St George, UT 84790
Phone (435) 656-1699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1114390846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 E RIVERSIDE DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908134",
"telephone_number": "435-656-1699",
"fax_number": "435-656-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 E RIVERSIDE DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908134",
"telephone_number": "435-656-1699",
"fax_number": "435-656-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY & SLEEP CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-03",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "HALLENBORG",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "435-669-7046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "UT",
"license": "6996337-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.