Organization Active NPI

Pulmonary Medicine Clinic, P.C.

  • Pulmonary Disease Physician
  • Ardmore, OK
National Provider Identifier
1740209980
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY MEDICINE CLINIC, P.C.
Practice address
1514 Meadow LN
Ardmore, OK 73401-1822
Phone
(580) 223-5919
Fax
(580) 220-2810
NPI assigned
Jul 19, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Joel Sabangan, M.D.NPI 1871520908
Title
Doctor
Phone
(580) 223-5919

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1514 Meadow LN
Ardmore, OK 73401-1822

Mailing address

1514 Meadow LN
Ardmore, OK 73401-1822
Phone (580) 223-5919

National Provider Directory

National Provider Directory

Locations

1219 K St NW
Ste A
Ardmore, OK 73401
Phone (580) 223-5919

1514 Meadow Ln
Ardmore, OK 73401
Phone (580) 223-5919

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1740209980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 MEADOW LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011822",
            "telephone_number": "580-223-5919",
            "fax_number": "580-220-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 MEADOW LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011822",
            "telephone_number": "580-223-5919",
            "fax_number": "580-220-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "SABANGAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "580-223-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.