Pulmonary & Critical Care Consultants of Jacksonville PL

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME53176 Issued in FL

Legal business name

PULMONARY & CRITICAL CARE CONSULTANTS OF JACKSONVILLE PL

Practice address

8075 Gate Pkwy W
Suite 304
Jacksonville, FL 32216-3684

Phone

(904) 739-6666

Fax

(904) 739-1009

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amit K Chakravarty, M.D.NPI 1154352326

Title

Owner

Phone

(904) 739-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amit K Chakravarty, MD

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1154352326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1407946387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551537",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551537",
            "telephone_number": "904-739-6666",
            "fax_number": "904-739-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163684",
            "telephone_number": "904-739-6666",
            "fax_number": "904-739-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE CONSULTANTS OF JACKSONVILLE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "CHAKRAVARTY",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-739-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME53176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF4633",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene Uriel Pulido, MD
• Audrey Pulitzer, MD
• Taylor Jonsson Pullen, MSN, APRN, FNP-BC
• Michael Thomas Pulley, MD
• Elizabeth Mathew Pullukala
• Pulmonary and Critical Care Associates P a
• Pulmonary and Critical Care Associates P a
• Pulmonary and Critical Care Associates P a
• Pulmonary and Critical Care Associates PA
• Pulmonary and Critical Care Associates PA

• Pulmonary Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.