Active NPI
Pulmonary and Sleep Private Care PLLC
- Pulmonary Disease Physician
- Prescott, AZ
National Provider Identifier
1598476657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY AND SLEEP PRIVATE CARE PLLC
- Practice address
- 1055 Ruth St Ste 3
Prescott, AZ 86301-1740 - Phone
- (877) 816-8429
- Fax
- (877) 816-8429
- NPI assigned
- Dec 9, 2022
- 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
- Mohammad Ali El-Harakeh
- Title
- Owner
- Phone
- (877) 816-8429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1055 Ruth St Ste 3
Prescott, AZ 86301-1740
Mailing address
1055 Ruth St Ste 3
Prescott, AZ 86301-1740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1055 Ruth St
Ste 3
Prescott, AZ 86301
Phone (877) 816-8429
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDDJCD
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pulmonary Disease Physician
- Prescott, AZ
- NPI 1184829061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1598476657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RUTH ST STE 3",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011740",
"fax_number": "877-816-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 RUTH ST STE 3",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011740",
"telephone_number": "877-816-8429",
"fax_number": "877-816-8429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY AND SLEEP PRIVATE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "EL-HARAKEH",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-816-8429"
},
"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 Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.