Organization Active NPI

Evansville Pulmonary Associates, Inc.

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1124109822
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
EVANSVILLE PULMONARY ASSOCIATES, INC.
Practice address
611 Harriet St
Suite 504
Evansville, IN 47710-1781
Phone
(812) 423-8182
Fax
(812) 421-9481
NPI assigned
Oct 18, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Kristie Powers
Title
Bom
Phone
(812) 402-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

611 Harriet St
Suite 504
Evansville, IN 47710-1781

Mailing address

611 Harriet St
Suite 504
Evansville, IN 47710-1781
Phone (812) 423-8182

National Provider Directory

National Provider Directory

Locations

611 Harriet St
#504
Evansville, IN 47710
Phone (812) 423-8182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1124109822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HARRIET ST",
            "address_2": "SUITE 504",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101781",
            "telephone_number": "812-423-8182",
            "fax_number": "812-421-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HARRIET ST",
            "address_2": "SUITE 504",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101781",
            "telephone_number": "812-423-8182",
            "fax_number": "812-421-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE PULMONARY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "812-402-7420"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.