NPIMap

Organization Active NPI

Eastern Ohio Pulmonary Consultants Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Boardman, OH
National Provider Identifier
1235117276
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
EASTERN OHIO PULMONARY CONSULTANTS INC
Practice address
960 Windham CT
Suite 1
Boardman, OH 44512-5087
Phone
(330) 726-3357
Fax
(330) 726-1465
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Sandy Kalic
Title
Practice Manager
Phone
(330) 726-3357

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

960 Windham CT
Suite 1
Boardman, OH 44512-5087

Mailing address

960 Windham CT
Suite 1
Boardman, OH 44512-5087
Phone (330) 726-3357

National Provider Directory

National Provider Directory

Locations

1353 E Market St
Ste 103
Warren, OH 44483
Phone (330) 726-3357

960 Windham Ct
Ste 1A
Youngstown, OH 44512

960 Windham Ct
Youngstown, OH 44512
Phone (330) 726-3357

Practitioners & affiliated clinicians

Practitioners 3

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1235117276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WINDHAM CT",
            "address_2": "SUITE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125087",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WINDHAM CT",
            "address_2": "SUITE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125087",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OHIO PULMONARY CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "KALIC",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-726-3357"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.