Active NPI
Respiratory Disease Clinic
- Pulmonary Disease Physician
- Paducah, KY
National Provider Identifier
1689786279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- RESPIRATORY DISEASE CLINIC
- Practice address
- 1920 Broadway St
Paducah, KY 42001-7106 - Phone
- (270) 442-3647
- Fax
- (270) 442-3777
- NPI assigned
- Aug 31, 2006
- 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
- William Culbertson Jr., M.D.
- Title
- Partner
- Phone
- (270) 442-3647
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1920 Broadway St
Paducah, KY 42001-7106
Mailing address
1920 Broadway St
Paducah, KY 42001-7106
Phone (270) 442-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65907578 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1689786279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017106",
"telephone_number": "270-442-3647",
"fax_number": "270-442-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017106",
"telephone_number": "270-442-3647",
"fax_number": "270-442-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESPIRATORY DISEASE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "CULBERTSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "270-442-3647",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65907578",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.