Organization Active NPI

Pulmonary and Critical Care Associates PA

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1467512764
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND CRITICAL CARE ASSOCIATES PA
Practice address
5210 Belfort Rd
Suite 130
Jacksonville, FL 32256-6024
Phone
(904) 281-7600
Fax
(904) 281-7601
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Vicki-Lynne Gloger
Title
Coo
Phone
(904) 366-3738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

5210 Belfort Rd
Suite 130
Jacksonville, FL 32256-6024

Mailing address

425 N Lee St
Suite 202 a
Jacksonville, FL 32204-1127
Phone (904) 366-3738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1467512764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N LEE ST",
            "address_2": "SUITE 202 A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041127",
            "telephone_number": "904-366-3738",
            "fax_number": "904-354-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 BELFORT RD",
            "address_2": "SUITE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566024",
            "telephone_number": "904-281-7600",
            "fax_number": "904-281-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL CARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "GLOGER",
        "authorized_official_first_name": "VICKI-LYNNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-366-3738"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.