NPIMap

Organization Active NPI

Pulmonary and Critical Specialists Inc

  • Pulmonary Disease Physician
  • Maumee, OH
National Provider Identifier
1144201294
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND CRITICAL SPECIALISTS INC
Practice address
1661 Holland Rd
Suite 200
Maumee, OH 43537
Phone
(419) 843-7800
Fax
(419) 843-3444
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Hany Joseph Jacob, M.D.
Title
Pres Ceo
Phone
(419) 843-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1661 Holland Rd
Suite 200
Maumee, OH 43537

Mailing address

1661 Holland Rd
Suite 200
Maumee, OH 43537-4207
Phone (419) 843-7800

Other identifiers 1

IdentifierTypeStateIssuer
2202020MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1144201294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD",
            "address_2": "SUITE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374207",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD",
            "address_2": "SUITE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "419-843-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

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