Organization Active NPI

Summit Sleep and Lung Associates, P.C.

  • Pulmonary Disease Physician
  • Hermitage, TN
National Provider Identifier
1336136779
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SUMMIT SLEEP AND LUNG ASSOCIATES, P.C.
Practice address
3901 Central Pike
Suite 352
Hermitage, TN 37076-3419
Phone
(615) 391-5567
Fax
(615) 391-5530
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Mr. Patrick Birmingham
Title
Director
Phone
(615) 391-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

3901 Central Pike
Suite 352
Hermitage, TN 37076-3419

Mailing address

3901 Central Pike
Suite 352
Hermitage, TN 37076-3419
Phone (615) 391-5567

Other identifiers 1

IdentifierTypeStateIssuer
3726497MedicaidTN

National Provider Directory

National Provider Directory

Locations

3901 Central Pike
Ste 352
Hermitage, TN 37076
Phone (615) 391-5567

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1336136779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-391-5567",
            "fax_number": "615-391-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-391-5567",
            "fax_number": "615-391-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SLEEP AND LUNG ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-391-5567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726497",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.