Organization Active NPI

The Lung Clinic, P.a.

  • Pulmonary Disease Physician
  • Kissimmee, FL
National Provider Identifier
1639196728
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME49612 Issued in FL
Legal business name
THE LUNG CLINIC, P.A.
Doing business as
Lung Clinic, PA
Practice address
1115 N Central Ave
Kissimmee, FL 34741-4405
Phone
(407) 944-3500
Fax
(407) 944-3503
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Muhammad K Shaukat, M.D., F.C.C.P.
Title
Owner
Phone
(407) 944-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME49612 FL Primary

Addresses

Primary practice location

1115 N Central Ave
Kissimmee, FL 34741-4405

Mailing address

1115 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 944-3500

Other identifiers 1

IdentifierTypeStateIssuer
370115800MedicaidFL

Other names 1

  • Lung Clinic, PA Doing business as

National Provider Directory

National Provider Directory

Locations

1115 N Central Ave
Kissimmee, FL 34741
Phone (407) 944-3500

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1639196728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-944-3500",
            "fax_number": "407-944-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-944-3500",
            "fax_number": "407-944-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUNG CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "SHAUKAT",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-944-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.C.C.P."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME49612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370115800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung Clinic, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.