Northshore Respiratory and Sleep

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NORTHSHORE RESPIRATORY AND SLEEP

Practice address

4212 State Route 306
#110
Willoughby, OH 44094-9258

Phone

(440) 954-9388

Fax

(440) 269-1338

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy F Kowalski

Title

President

Phone

(440) 954-9388

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1376720987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SOM CENTER RD",
            "address_2": "#25",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242118",
            "telephone_number": "440-446-1423",
            "fax_number": "440-446-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "#110",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949258",
            "telephone_number": "440-954-9388",
            "fax_number": "440-269-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE RESPIRATORY AND SLEEP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-954-9388",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.