Organization Active NPI

Pulmonary & Critical Care Medicine Consultants PC

  • Pulmonary Disease Physician
  • Clarkston, MI
National Provider Identifier
1851330773
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101006431 Issued in MI
Legal business name
PULMONARY & CRITICAL CARE MEDICINE CONSULTANTS PC
Practice address
5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403
Phone
(248) 922-9283
Fax
(248) 922-9286
NPI assigned
Jun 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lisa A Moldovan
Title
Practice Manager
Phone
(248) 922-9283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5101006431 MI Primary

Addresses

Primary practice location

5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403

Mailing address

5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403
Phone (248) 922-9283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000887 MI Part B Supplier - Clinic/Group Practice 3870527443 Receives reassigned benefits from 6 practitioners
Practice locations: Commerce, MI; Clarkston, MI

National Provider Directory

National Provider Directory

Locations

5701 Bow Pointe Dr
Ste 365
Clarkston, MI 48346
Phone (248) 922-9283

5885 S Main St
Ste 3
Clarkston, MI 48346
Phone (248) 620-1720

1 William Carls Dr
#250
Commerce Twp, MI 48382
Phone (248) 652-2708

1 William Carls Dr
Ste 250
Commerce Twp, MI 48382
Phone (248) 937-3395

8906 Commerce Rd
Commerce Twp, MI 48382

1455 S Lapeer Rd
#L12
Lake Orion, MI 48360
Phone (248) 232-0110

1455 S Lapeer Rd
Ste L12
Lake Orion, MI 48360

441 S Livernois Rd
Ste 180
Rochester Hills, MI 48307
Phone (248) 652-2708

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851330773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 365",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403",
            "telephone_number": "248-922-9283",
            "fax_number": "248-922-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 365",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403",
            "telephone_number": "248-922-9283",
            "fax_number": "248-922-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE MEDICINE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOLDOVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-922-9283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.