Active NPI
West Pasco Pulmonary Associates, Re LP
- Pulmonary Disease Physician
- Hudson, FL
National Provider Identifier
1366442410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- WEST PASCO PULMONARY ASSOCIATES, RE LP
- Practice address
- 7545 Medical Dr
Hudson, FL 34667-6502 - Phone
- (727) 857-4397
- Fax
- (727) 857-4352
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Montano
- Title
- Billing Coordinator
- Phone
- 72785743997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
7545 Medical Dr
Hudson, FL 34667-6502
Mailing address
7545 Medical Dr
Hudson, FL 34667-6502
Phone (727) 857-4397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38688 | Other | FL | BCBS GROUP ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060313000128 | FL | Part B Supplier - Clinic/Group Practice | 2264449594 |
Receives reassigned benefits from 5 practitioners Practice locations: Hudson, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368662400000",
"number": "1366442410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 MEDICAL DR",
"city": "HUDSON",
"state": "FL",
"postal_code": "346676502",
"telephone_number": "727-857-4397",
"fax_number": "727-857-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 MEDICAL DR",
"city": "HUDSON",
"state": "FL",
"postal_code": "346676502",
"telephone_number": "727-857-4397",
"fax_number": "727-857-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PASCO PULMONARY ASSOCIATES, RE LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2013-05-16",
"status": "A",
"authorized_official_last_name": "MONTANO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "72785743997"
},
"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": "BCBS GROUP ID#",
"identifier": "38688",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.