Active NPI
Pulmonary Disease Specialists, PA
- Pulmonary Disease Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY DISEASE SPECIALISTS, PA
- Practice address
- 1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405 - Phone
- (407) 933-1221
- Fax
- (407) 933-1132
- NPI assigned
- May 9, 2007
- Last updated
- Mar 18, 2015
- 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. Thomas W O'Brien, M.D.
- Title
- President
- Phone
- (407) 933-1221
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
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Mailing address
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone (407) 933-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255536100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 Citrus Tower Blvd
Clermont, FL 34711
Phone (321) 972-4122
40124 Highway 27
Ste 202
Davenport, FL 33837
Phone (863) 422-5331
1121 N Central Ave
Ste A
Kissimmee, FL 34741
Phone (407) 933-2210
1121 N Central Ave
Ste C
Kissimmee, FL 34741
290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221
700 W Vine St
Kissimmee, FL 34741
1012 Cypress Pkwy
Poinciana, FL 34759
Phone (470) 933-1423
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
3114 17th St
Saint Cloud, FL 34769
Phone (407) 846-0626
Practitioners & affiliated clinicians
Practitioners 25
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
- Kissimmee, FL
- NPI 1225144579
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1043275647
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1396700803
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1992570345
-
- Gerontology Nurse Practitioner
- Kissimmee, FL
- NPI 1629430707
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1861083081
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1861877839
Pulmonary Disease
-
- Pulmonary Disease Physician
- Davenport, FL
- NPI 1942252317
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1386609899
-
- Pulmonary Disease Physician
- Orlando, FL
- NPI 1598744039
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1750719175
-
- Gerontology Nurse Practitioner
- Kissimmee, FL
- NPI 1225419161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1649484809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N CENTRAL AVE",
"address_2": "SUITE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414405",
"telephone_number": "407-933-1221",
"fax_number": "407-933-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N CENTRAL AVE",
"address_2": "SUITE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414405",
"telephone_number": "407-933-1221",
"fax_number": "407-933-1132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY DISEASE SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-933-1221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255536100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 18, 2015; 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.