Pulmonary Medicine of Dayton, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PULMONARY MEDICINE OF DAYTON, INC

Practice address

3535 Southern Blvd
Sleep Lab
Kettering, OH 45429

Phone

(937) 439-3600

Fax

(937) 439-3786

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Katie Adcock

Title

Practice Manager

Phone

(937) 439-3600

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pulmonary Medicine of Dayton Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pulmonary Medicine of Dayton, Inc

  • Pulmonary Disease Physician
  • Kettering, OH
  • NPI 1235357112
  NPD tax ID

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1700916020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933242",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930035",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "address_2": "SLEEP LAB",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE OF DAYTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-439-3600"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293507",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0958629",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proscript, Inc
• Madison Korianna Pruitt-Purifoy
• Sacoiya Pruitt
• Daniel Thomas Pucheril, M.D., M.B.A
• Pulmonary Medicine of Dayton, Inc
• Stacy Marie Purvis
• Audra Puzio, PA-C
• Ryan Pyles-Dodds
• Brooke Pyles, MSSA, LSW
• Nazneen M Quadri, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Kettering, OH
• Providers in Kettering, OH by specialty
• Sleep Disorder Diagnostic Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.