Pulmonary Internal Medicine PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY INTERNAL MEDICINE PC

Practice address

1220 E 3900 S Ste 2C
Salt Lake City, UT 84124-1319

Phone

(801) 263-2482

Fax

(801) 263-2424

NPI assigned

Jul 8, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet L Grant

Title

Office Manager

Phone

(801) 263-2482

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1417980178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 2C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241319",
            "telephone_number": "801-263-2482",
            "fax_number": "801-263-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 2C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241319",
            "telephone_number": "801-263-2482",
            "fax_number": "801-263-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-263-2482"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV OF UTAH",
            "identifier": "2294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000055221",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Puig-Holzman, RDN
• Richard W Pullan
• Kimberly Ann Pulley, OT
• Michael Pulley
• Cheryl Marie Pullman
• McKinley Pulsipher
• Stefan Pulst, M.D.
• Mark P Pulver, PA
• Ron W Pulver, CRNA
• Amanda L. Purcell, MD

• Pulmonary Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pulmonary Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.