Active NPI
Pulmonary Diseases Care, P.a.
- Pulmonary Disease Physician
- Charleston, SC
National Provider Identifier
1548324551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY DISEASES CARE, P.A.
- Practice address
- 1866 Raoul Wallenberg Blvd
Suite B
Charleston, SC 29407-3545 - Phone
- (843) 766-6646
- Fax
- (843) 766-6640
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel K. Game, MD
- Title
- President
- Phone
- (843) 766-6646
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1866 Raoul Wallenberg Blvd
Suite B
Charleston, SC 29407-3545
Mailing address
PO Box 80054
Charleston, SC 29416-0054
Phone (843) 766-6646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3435 | Medicaid | SC | |
| 1548324551 | Other | SC | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
1866 Raoul Wallenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 766-6646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Charleston, SC
- NPI 1457322059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394496000000",
"number": "1548324551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80054",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294160054",
"telephone_number": "843-766-6646",
"fax_number": "843-766-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 RAOUL WALLENBERG BLVD",
"address_2": "SUITE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073545",
"telephone_number": "843-766-6646",
"fax_number": "843-766-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY DISEASES CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2014-03-11",
"status": "A",
"authorized_official_last_name": "GAME",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-766-6646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3435",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "1548324551",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.