Organization Active NPI

Pulmonary Physicians of Gainesville, PA

  • Pulmonary Disease Physician
  • Gainesville, FL
National Provider Identifier
1750355830
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0043168 Issued in FL
Legal business name
PULMONARY PHYSICIANS OF GAINESVILLE, PA
Practice address
4711 NW 8TH Avenue
Suite C
Gainesville, FL 32605
Phone
(352) 375-0302
Fax
(352) 371-0456
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Joseph Arthur Tonner, MD
Title
Owner Partner Officer
Phone
(352) 375-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME0043168 FL Primary

Addresses

Primary practice location

4711 NW 8TH Avenue
Suite C
Gainesville, FL 32605

Mailing address

4741 NW 8TH Ave Ste C
Gainesville, FL 32605-5511
Phone (352) 375-0302

Other identifiers 2

IdentifierTypeStateIssuer
45768OtherFLBCBS
270931700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1750355830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 NW 8TH AVE STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055511",
            "telephone_number": "352-375-0302",
            "fax_number": "352-371-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 NW 8TH AVENUE",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-375-0302",
            "fax_number": "352-371-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PHYSICIANS OF GAINESVILLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "TONNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER PARTNER OFFICER",
        "authorized_official_telephone_number": "352-375-0302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0043168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45768",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270931700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.