Organization Active NPI

The Lung Center, PC

  • Pulmonary Disease Physician
  • Florence, AL
National Provider Identifier
1790887545
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
THE LUNG CENTER, PC
Practice address
3905 Peach St
Florence, AL 35630-2803
Phone
(256) 767-5864
Fax
(256) 263-4512
NPI assigned
Sep 2, 2006
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Dr. Edsel P Holden II, MDNPI 1013015254
Title
Physician/President
Phone
(256) 767-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

3905 Peach St
Florence, AL 35630-2803

Mailing address

3905 Peach St
Florence, AL 35630-2803
Phone (256) 767-5864

Other identifiers 1

IdentifierTypeStateIssuer
529912730MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050810000848 AL Part B Supplier - Clinic/Group Practice 2961431895 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

3905 Peach St
Florence, AL 35630
Phone (256) 767-5864

541 W College St
Ste 2200
Florence, AL 35630
Phone (256) 767-5864

Practitioners & affiliated clinicians

Practitioners 5

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1790887545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 PEACH ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302803",
            "telephone_number": "256-767-5864",
            "fax_number": "256-263-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 PEACH ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302803",
            "telephone_number": "256-767-5864",
            "fax_number": "256-263-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUNG CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "256-767-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529912730",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.