Organization Active NPI

Pulmonary and Sleep Associates of Jasper, PC

  • Medical Specialty Clinic/Center
  • Jasper, AL
National Provider Identifier
1669410700
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PULMONARY AND SLEEP ASSOCIATES OF JASPER, PC
Practice address
1280 Summit Dr.
Jasper, AL 35501-0102
Phone
(205) 387-7555
Fax
(205) 387-7551
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Jan H Westerman, M.D.NPI 1285674150
Title
President
Phone
(205) 387-7555

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1280 Summit Dr.
Jasper, AL 35501-0102

Mailing address

1280 Summit Dr.
Jasper, AL 35501-0102
Phone (205) 387-7555

Other identifiers 1

IdentifierTypeStateIssuer
529703220MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702001234 AL Part B Supplier - Clinic/Group Practice 8820075179 Receives reassigned benefits from 4 practitioners
Practice locations: Jasper, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1106301Pulmonary & Sleep Associates of Jasper1280 Summit Drive, Jasper, AL 35501Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1669410700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SUMMIT DR.",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010102",
            "telephone_number": "205-387-7555",
            "fax_number": "205-387-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 SUMMIT DR.",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010102",
            "telephone_number": "205-387-7555",
            "fax_number": "205-387-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP ASSOCIATES OF JASPER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "WESTERMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-387-7555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529703220",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.