NPIMap

Organization Active NPI

Pulmonary and Critical Care Associates PC

  • Pulmonary Disease Physician
  • Festus, MO
National Provider Identifier
1508904863
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
106261 Issued in MO
Legal business name
PULMONARY AND CRITICAL CARE ASSOCIATES PC
Practice address
1390 US Highway 61 Ste 2300
Festus, MO 63028-4121
Phone
(636) 937-3121
Fax
(636) 937-4423
NPI assigned
Feb 1, 2007
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Mr. Warren Mark Breite, MDNPI 1457355372
Title
Physician
Phone
(636) 937-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 106261 MO Primary

Addresses

Primary practice location

1390 US Highway 61 Ste 2300
Festus, MO 63028-4121

Mailing address

3260 Hwy 61
Festus, MO 63028-4226
Phone (636) 937-3121

Other identifiers 2

IdentifierTypeStateIssuer
207728601MedicaidMO
500975107MedicaidMO

National Provider Directory

National Provider Directory

Locations

1103 W Liberty St
Fl 4
Farmington, MO 63640
Phone (573) 747-1888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1508904863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 HWY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284226",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284121",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "BREITE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-937-3121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "106261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207728601",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500975107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.