NPIMap

Organization Active NPI

Treasure Coast Pulmonary Medicine, P.a.

  • Pulmonary Disease Physician
  • Port St Lucie, FL
National Provider Identifier
1871036236
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME99553 Issued in FL
Legal business name
TREASURE COAST PULMONARY MEDICINE, P.A.
Practice address
10380 SW Village Center Dr
319
Port St Lucie, FL 34987-1931
Phone
(772) 485-3695
NPI assigned
Dec 2, 2016
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Dr. Vivek Kaul, MD
Title
President
Phone
(772) 485-3695

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X ME99553 FL
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X ME99553 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X ME99553 FL

Addresses

Primary practice location

10380 SW Village Center Dr
319
Port St Lucie, FL 34987-1931

Mailing address

10380 SW Village Center Dr
319
Port St Lucie, FL 34987-1931
Phone (772) 485-3695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1871036236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR",
            "address_2": "319",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "772-485-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR",
            "address_2": "319",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "772-485-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PULMONARY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-485-3695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME99553",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME99553",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME99553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.