Pulmonary Care Service LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35377 Issued in KY

Legal business name

PULMONARY CARE SERVICE LLC

Practice address

720 Hospital Dr
Ste 106
Shelbyville, KY 40065-1685

Phone

(502) 633-1151

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. MHD Haitham Chaker, MDNPI 1467432682

Title

Owner

Phone

(502) 633-1151

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• MHD Haitham Chaker, MD

  • Pulmonary Disease Physician
  • Shelbyville, KY
  • NPI 1467432682
  NPD (past) Authorized official

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1497150205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR",
            "address_2": "STE 106",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651685",
            "telephone_number": "502-633-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR",
            "address_2": "STE 106",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651685",
            "telephone_number": "502-633-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CHAKER",
        "authorized_official_first_name": "MHD",
        "authorized_official_middle_name": "HAITHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-633-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35377",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "35377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000901376",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Powers, MD
• Sarah Price
• Stephanie Duncan Price
• Hannah Marie Pridemore
• Nichole Pulfer, LCSW
• Leslie Purvis
• Jenny Kay Quinn, PHARMD
• Edwin Raidt
• Shelley A Rassenfoss
• Mary Rateau, PT

• Pulmonary Disease Physician in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.