NPIMap

Organization Active NPI

Center for Pulmonary and Critical Care Medicine, PLC

  • Pulmonary Disease Physician
  • Clarksville, TN
National Provider Identifier
1710162524
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34189 Issued in TN
Legal business name
CENTER FOR PULMONARY AND CRITICAL CARE MEDICINE, PLC
Practice address
298 Clear Sky CT
Ste. B
Clarksville, TN 37043-5685
Phone
(931) 542-2647
Fax
(931) 542-2648
NPI assigned
Dec 31, 2007
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Sriram Krishnasamy, M.D.NPI 1114024908
Title
Sole Member
Phone
(931) 542-2647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 34189 TN Primary

Addresses

Primary practice location

298 Clear Sky CT
Ste. B
Clarksville, TN 37043-5685

Mailing address

PO Box 30805
2032 Wilma Rudolph Blvd.
Clarksville, TN 37040-0014
Phone (931) 542-2647

Other identifiers 1

IdentifierTypeStateIssuer
38521912OtherTNMEDICARE GROUP/ ORGANIZATION PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1710162524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30805",
            "address_2": "2032 WILMA RUDOLPH BLVD.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370400014",
            "telephone_number": "931-542-2647",
            "fax_number": "931-542-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT",
            "address_2": "STE. B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-542-2647",
            "fax_number": "931-542-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PULMONARY AND CRITICAL CARE MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "KRISHNASAMY",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "931-542-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "34189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ ORGANIZATION PTAN",
            "identifier": "38521912",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.