Houston Lung Clinic L.L.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

HOUSTON LUNG CLINIC L.L.C.

Practice address

92 Tommy Stalnaker Dr
W. R., GA 31088-9179

Phone

(478) 333-2522

Fax

(478) 333-3160

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Rodrigo E Morales, MDNPI 1780609867

Title

Physician/Owner

Phone

(478) 333-2522

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodrigo E Morales, M.D.

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1780609867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1760007298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8537",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958537",
            "telephone_number": "478-923-2678",
            "fax_number": "478-929-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 TOMMY STALNAKER DR",
            "city": "W. R.",
            "state": "GA",
            "postal_code": "310889179",
            "telephone_number": "478-333-2522",
            "fax_number": "478-333-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON LUNG CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "478-333-2522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "52467",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.