Organization Active NPI

Lung Associates PA

  • Specialist
  • Bradenton, FL
National Provider Identifier
1760689541
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0053985 Issued in FL
Legal business name
LUNG ASSOCIATES PA
Practice address
203 3Rd Ave E
Bradenton, FL 34208-1013
Phone
(941) 741-8633
Fax
(941) 741-8632
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mrs. Lisa Rampertaap, MD
Title
Office Manager
Phone
(941) 741-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME0053985 FL Primary

Addresses

Primary practice location

203 3Rd Ave E
Bradenton, FL 34208-1013

Mailing address

203 3Rd Ave E
Bradenton, FL 34208-1013
Phone (941) 741-8633

Other identifiers 1

IdentifierTypeStateIssuer
CC5225OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041023000003 FL Part B Supplier - Clinic/Group Practice 3476514316 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

4002 Sun City Center Blvd
Unit 101
Sun City Ctr, FL 33573
Phone (813) 672-2243

4002 Sun City Center Blvd
Unit A
Sun City Ctr, FL 33573
Phone (813) 634-3306

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHIAA

Practitioners & affiliated clinicians

Practitioners 2

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1760689541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "941-741-8633",
            "fax_number": "941-741-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "941-741-8633",
            "fax_number": "941-741-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMPERTAAP",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-741-8633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0053985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC5225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.