Pulmonary & Critical Care Medicine, Inc.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

A49947 Issued in CA

Legal business name

PULMONARY & CRITICAL CARE MEDICINE, INC.

Doing business as

Merrill R Nisam, MD

Practice address

335 Carrera Dr
Mill Valley, CA 94941-3999

Phone

(415) 388-7210

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Merrill Ralph Nisam, MDNPI 1205824067

Title

President

Phone

(415) 924-1214

Specialties & licenses 1

Addresses

Other names 1

• Merrill R Nisam, MD Doing business as

Locations

Practitioners 1

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

• Merrill Ralph Nisam, MD

  • Pulmonary Disease Physician
  • Larkspur, CA
  • NPI 1205824067

  Critical Care Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1508854381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CARRERA DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413999",
            "telephone_number": "415-388-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CARRERA DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413999",
            "telephone_number": "415-388-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "NISAM",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-924-1214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A49947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrill R Nisam, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lauren Post
• Jesus Antonio Prado
• Prima Medical Foundation
• James Pritchett
• Catherine Provencal
• Georgia L Pung, M.D.
• Quantum Physical Therapy
• Heidi Freya Queen, M.D
• Samuel Quinby, DPT
• Kira Quinn

• Critical Care Medicine (Internal Medicine) Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.