Organization Active NPI

Gulfcoast Pulmonary Associates, P.a.

  • Pulmonary Disease Physician
  • New Port Richey, FL
National Provider Identifier
1154481752
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0047363 NOORANI Issued in FL
Legal business name
GULFCOAST PULMONARY ASSOCIATES, P.A.
Practice address
4746 Rowan Rd
New Port Richey, FL 34653-5601
Phone
(727) 375-7788
Fax
(727) 375-7727
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mrs. Daneine Durham
Title
Office Manager
Phone
(727) 375-7788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X ME0047363 NOORANI FL Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X ME0075549 AKRAM FL

Addresses

Primary practice location

4746 Rowan Rd
New Port Richey, FL 34653-5601

Mailing address

4746 Rowan Rd
New Port Richey, FL 34653-5601
Phone (727) 375-7788

Other identifiers 1

IdentifierTypeStateIssuer
259355600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000503 FL Part B Supplier - Clinic/Group Practice 5597832683 Receives reassigned benefits from 2 practitioners
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

4746 Rowan Rd
New Prt Rchy, FL 34653
Phone (727) 375-7788

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGEIAA

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1154481752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535601",
            "telephone_number": "727-375-7788",
            "fax_number": "727-375-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535601",
            "telephone_number": "727-375-7788",
            "fax_number": "727-375-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST PULMONARY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DANEINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-375-7788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0047363 NOORANI",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0075549 AKRAM",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259355600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.