Organization Active NPI

Pulmonary and Critical Specialists Inc

  • Specialist
  • Sylvania, OH
National Provider Identifier
1790804300
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY AND CRITICAL SPECIALISTS INC
Practice address
7640 Sylvania Ave
Suite N
Sylvania, OH 43560
Phone
(419) 843-7800
Fax
(419) 843-3444
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Irene Jacob
Title
Manager
Phone
(419) 794-1330

Specialties & licenses 1

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

Addresses

Primary practice location

7640 Sylvania Ave
Suite N
Sylvania, OH 43560

Mailing address

1661 Holland Rd
Suite 200
Maumee, OH 43537-4207
Phone (419) 843-7800

Other identifiers 1

IdentifierTypeStateIssuer
2202020MedicaidOH

National Provider Directory

National Provider Directory

Locations

1646 Tiffin Ave
Findlay, OH 45840

1661 Holland Rd
Maumee, OH 43537
Phone (419) 720-2005

1050 Issac Sts
Ste 124
Oregon, OH 43616
Phone (419) 691-0010

7640 Sylvania Ave
Ste N
Sylvania, OH 43560
Phone (419) 517-7575

35 Frost Pkwy
Tiffin, OH 44883

2213 Cherry St
#306
Toledo, OH 43608
Phone (419) 251-6763

2121 Hughes Dr
Ste 820
Toledo, OH 43606
Phone (419) 471-2050

7150 Granite Cir
Ste 100
Toledo, OH 43617

3441 Granite Cir
Toledo, OH 43617
Phone (419) 843-5470

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1790804300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD",
            "address_2": "SUITE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374207",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE",
            "address_2": "SUITE N",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-843-7800",
            "fax_number": "419-843-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-794-1330"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.