Pulmonary & Critical Care Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01038686 Issued in IN

Legal business name

PULMONARY & CRITICAL CARE ASSOCIATES, PC

Practice address

621 Memorial Drive
Suite 512
South Bend, IN 46601-1074

Phone

(574) 246-9350

Fax

(574) 246-9370

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Frances Koscielski, M.D.

Title

President

Phone

(574) 246-9350

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jena M Corban, MSN

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1134129919
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1124141346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DRIVE",
            "address_2": "SUITE 512",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011074",
            "telephone_number": "574-246-9350",
            "fax_number": "574-246-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DRIVE",
            "address_2": "SUITE 512",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011074",
            "telephone_number": "574-246-9350",
            "fax_number": "574-246-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "KOSCIELSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-246-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01038686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0360",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200237190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulaski Memorial Hospital
• Pulaski Memorial Hospital
• Pulaski Memorial Hospital
• Pulaski Memorial Hospital
• Traci Renee Pulliam, DNP
• Maureen K Purcell, PT
• Purposeful Healing Counseling
• Whitney Purtzer
• Andrew Jayadeva Puthran
• Gina B Putt, MA

• Specialist in South Bend, IN
• Providers in South Bend, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.