Pulmonary & Critical Care Medicine, Inc.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY & CRITICAL CARE MEDICINE, INC.

Practice address

911 Ligonier St
Suite 204
Latrobe, PA 15650-1805

Phone

(724) 537-2210

Fax

(724) 537-2545

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sanjeev Jethmalani, M.D.

Title

Owner

Phone

(724) 537-2210

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316988355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST",
            "address_2": "SUITE 204",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-537-2210",
            "fax_number": "724-537-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST",
            "address_2": "SUITE 204",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-537-2210",
            "fax_number": "724-537-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JETHMALANI",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-537-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "032867",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Care Corp
• Precision Care Pharmacy
• Primary Health Network
• Joshua Scott Prokopec
• Aldo Prosperi, MD
• Kenneth Gary Purvis, D.D.S.
• Kelly Quednau, PSY.D.
• Warren J Raishart, D. C.
• Allen Rakers, PA-C
• James Keith Ramsay, DMD

• Pulmonary Disease Physician in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.