Organization Active NPI

Pulmonary Associates, Inc

  • Durable Medical Equipment & Medical Supplies
  • Moorefield, WV
National Provider Identifier
1679747752
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
012590 Issued in WV
Legal business name
PULMONARY ASSOCIATES, INC
Practice address
2862 US Highway 220 S
Moorefield, WV 26836-8330
Phone
(304) 538-3363
Fax
(304) 538-2483
NPI assigned
Apr 18, 2008
Organization subpart
Yes
Parent organization
PULMONARY ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mr. Ronald W Combs, RT
Title
Owner
Phone
(304) 538-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 012590 WV Primary

Addresses

Primary practice location

2862 US Highway 220 S
Moorefield, WV 26836-8330

Mailing address

433 Keyser Ave
Petersburg, WV 26847-9474
Phone (304) 538-3363

Other identifiers 2

IdentifierTypeStateIssuer
000203849OtherWVBC/BS
0148137000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Pulmonary Associates Inc4 organizations share this tax ID, including this one
Part of
Pulmonary Associates Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2862 US Highway 220 S
Moorefield, WV 26836
Phone (304) 538-3363

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1679747752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 KEYSER AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479474",
            "telephone_number": "304-538-3363",
            "fax_number": "304-538-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 US HIGHWAY 220 S",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268368330",
            "telephone_number": "304-538-3363",
            "fax_number": "304-538-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PULMONARY ASSOCIATES, INC",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-538-3363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "012590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000203849",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148137000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.