NPIMap

Organization Active NPI

Lung and Sleep Clinic of Alaska Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Conshohocken, PA
National Provider Identifier
1376530493
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD459090 Issued in PA
Legal business name
LUNG AND SLEEP CLINIC OF ALASKA INC
Practice address
100 E 15TH Ave
Conshohocken, PA 19428-2329
Phone
(907) 317-7894
Fax
(907) 317-7894
NPI assigned
Oct 4, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
William Dean Lucht, MDNPI 1235121807
Title
President
Phone
(907) 317-7894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036.144544 IL
Pulmonary Disease Physician 207RP1001X MD459090 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036.144544 IL
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4967 AK
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD459090 PA Primary

Addresses

Primary practice location

100 E 15TH Ave
Conshohocken, PA 19428-2329

Mailing address

100 E 15TH Ave
Conshohocken, PA 19428-2329
Phone (907) 317-7894

Other practice location 1

2741 DeBarr Rd
Ste 307
Anchorage, AK 99508-2953
Phone (907) 646-2230

Other practice location 2

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-0003 ext. 28310

National Provider Directory

National Provider Directory

Locations

2741 Debarr Rd
Ste 307
Anchorage, AK 99508
Phone (907) 646-2230

1051 E Bogard Rd
Ste 1
Wasilla, AK 99654
Phone (628) 777-3539

Practitioners & affiliated clinicians

Practitioners 11

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1376530493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 15TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282329",
            "telephone_number": "907-317-7894",
            "fax_number": "610-825-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 15TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282329",
            "telephone_number": "907-317-7894",
            "fax_number": "907-317-7894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2741 DeBarr Rd",
            "address_2": "STE 307",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082953",
            "country_code": "US",
            "telephone_number": "907-646-2230",
            "fax_number": "907-646-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-0003 x28310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUNG AND SLEEP CLINIC OF ALASKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LUCHT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-317-7894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.144544",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD459090",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036.144544",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AK",
            "license": "4967",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD459090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.