Organization Active NPI

Lung and Sleep Disorder Institute PLLC

  • Specialist
  • Somerset, KY
National Provider Identifier
1376688614
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31007 Issued in KY
Legal business name
LUNG AND SLEEP DISORDER INSTITUTE PLLC
Practice address
46 Turpen CT
Suite B
Somerset, KY 42503-3464
Phone
(606) 679-0179
Fax
(606) 679-2580
NPI assigned
Feb 21, 2007
Last updated
Oct 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Authorized official

Name
Sandra K Schuldheisz, MDNPI 1194798934
Title
Owner
Phone
(606) 679-0179

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Specialist 174400000X 31007 KY Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 31007 KY

Addresses

Primary practice location

46 Turpen CT
Suite B
Somerset, KY 42503-3464

Mailing address

46 Turpen CT
Suite B
Somerset, KY 42503-3464
Phone (606) 679-0179

Other identifiers 1

IdentifierTypeStateIssuer
64100159MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000230 KY Part B Supplier - Clinic/Group Practice 4880608967 Receives reassigned benefits from 2 practitioners
Practice locations: Somerset, KY

National Provider Directory

National Provider Directory

Locations

124 Dowell Rd
Ste 104
Russell Springs, KY 42642
Phone (270) 866-4118

46 Turpen Ct
#B
Somerset, KY 42503
Phone (606) 679-0179

Practitioners & affiliated clinicians

Practitioners 5

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477094400000",
    "number": "1376688614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TURPEN CT",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033464",
            "telephone_number": "606-679-0179",
            "fax_number": "606-679-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TURPEN CT",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033464",
            "telephone_number": "606-679-0179",
            "fax_number": "606-679-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG AND SLEEP DISORDER INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHULDHEISZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-679-0179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "31007",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KY",
            "license": "31007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64100159",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.