Organization Active NPI

Pulmonary Associates of North Dallas, PA

  • Pulmonary Disease Physician
  • Carrollton, TX
National Provider Identifier
1336390145
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H6641 Issued in TX
Legal business name
PULMONARY ASSOCIATES OF NORTH DALLAS, PA
Practice address
3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465
Phone
(972) 865-2880
Fax
(972) 865-2870
NPI assigned
Oct 10, 2008
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Joseph Victor Surdacki, M.D.NPI 1174591986
Title
President
Phone
(972) 865-2880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H6641 TX Primary

Addresses

Primary practice location

3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465

Mailing address

3032 E Hebron Pkwy
Suite 101
Carrollton, TX 75010-4465
Phone (972) 865-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000145 TX Part B Supplier - Clinic/Group Practice 6507929411 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

3032 E Hebron Pkwy
Ste 101
Carrollton, TX 75010
Phone (972) 865-2880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBAGAA

Practitioners & affiliated clinicians

Practitioners 2

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": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1336390145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 E HEBRON PKWY",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104465",
            "telephone_number": "972-865-2880",
            "fax_number": "972-865-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 E HEBRON PKWY",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104465",
            "telephone_number": "972-865-2880",
            "fax_number": "972-865-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF NORTH DALLAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "SURDACKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-865-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.