Lung Center PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

LUNG CENTER PA

Practice address

2210 61St St W
Bradenton, FL 34209-5527

Phone

(941) 792-0611

Fax

(941) 792-0086

NPI assigned

Sep 22, 2006

Last updated

Nov 20, 2009By 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

Robert A Fasoli, M.D.NPI 1790772770

Title

Owner/Pres

Phone

(941) 792-0611

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert A Fasoli, MD

  • Pulmonary Disease Physician
  • Bradenton, FL
  • NPI 1790772770
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1306946330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 61ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095527",
            "telephone_number": "941-792-0611",
            "fax_number": "941-792-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 61ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095527",
            "telephone_number": "941-792-0611",
            "fax_number": "941-792-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "FASOLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "941-792-0611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RP1001X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luminary Dermatology, PA
• Nina A Lundberg, MD
• Espen Lundh, CRNA
• Lydia Lynn Lundquist, DO
• Lung Associates PA
• Thomas J Lustberg, MD FACS
• Marcela Lutthans, M.S., CCC-SLP
• Luxottica of America Inc (Target Optical Q350)
• Luxottica of America Inc. (Lenscrafters #805)
• Luxottica Retail North America Inc (Sears Optical #C0516)

• Pulmonary Disease Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.