Organization Active NPI

Pulmonary and Critical Specialists Inc

  • Specialist
  • Fremont, OH
National Provider Identifier
1144349655
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY AND CRITICAL SPECIALISTS INC
Practice address
715 S Taft Ave
Suite 188
Fremont, OH 43420
Phone
(419) 843-7800
Fax
(419) 843-3444
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Irene Jacob
Title
Manager
Phone
(419) 794-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

715 S Taft Ave
Suite 188
Fremont, OH 43420

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

Locations

715 S Taft Ave
#188
Fremont, OH 43420
Phone (419) 794-1347

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1144349655",
    "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": "715 S TAFT AVE",
            "address_2": "SUITE 188",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-794-1330"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.