Organization Active NPI

Sec Lung LLC

  • Pulmonary Disease Physician
  • Andalusia, AL
National Provider Identifier
1659501906
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SEC LUNG LLC
Practice address
822 S Three Notch St
Ste B
Andalusia, AL 36420-5310
Phone
(888) 681-5864
Fax
(334) 222-6633
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Robert I Garver Jr., MD
Title
Owner
Phone
(888) 681-5864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

822 S Three Notch St
Ste B
Andalusia, AL 36420-5310

Mailing address

822 S Three Notch St
Ste B
Andalusia, AL 36420-5310
Phone (888) 681-5864

National Provider Directory

National Provider Directory

Locations

109 Medical Park Dr
Andalusia, AL 36420
Phone (888) 681-5864

822 S Three Notch St
#B
Andalusia, AL 36420
Phone (334) 504-7014

1121 Belleville Ave
#B
Brewton, AL 36426
Phone (888) 681-5864

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1659501906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST",
            "address_2": "STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "888-681-5864",
            "fax_number": "334-222-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST",
            "address_2": "STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "888-681-5864",
            "fax_number": "334-222-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEC LUNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "GARVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-681-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.