Southeastern Occupational Pulmonary Services

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

29453 Issued in TN

Legal business name

SOUTHEASTERN OCCUPATIONAL PULMONARY SERVICES

Practice address

311 S Weisgarber Rd Ste D
Knoxville, TN 37919-7504

Phone

(865) 342-7859

NPI assigned

May 18, 2015

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Banick, M.D.NPI 1114941770

Title

Owner/Cmo

Phone

(865) 342-7859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul David Banick, M.D.

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1114941770
  NPD (past) Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1255719688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11484",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391484",
            "telephone_number": "865-342-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S WEISGARBER RD STE D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197504",
            "telephone_number": "865-342-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OCCUPATIONAL PULMONARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "BANICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CMO",
        "authorized_official_telephone_number": "865-342-7859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "29453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.