Active NPI
Macon Lung Center PC
- Pulmonary Disease Physician
- Macon, GA
National Provider Identifier
1871523399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- MACON LUNG CENTER PC
- Practice address
- 560 First Street
Macon, GA 31201 - Phone
- (478) 744-9603
- Fax
- (478) 744-9552
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oyekumle Ismail Muraina, MD
- Title
- Medical Doctor
- Phone
- (478) 744-9603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
560 First Street
Macon, GA 31201
Mailing address
560 1St St
Macon, GA 31201-2824
Phone (478) 744-9603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246308625A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 Margie Dr
Ste 100
Warner Robins, GA 31088
Phone (478) 417-8593
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1306790118
-
- Radiology Clinic/Center
- Macon, GA
- NPI 1679400311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1427008630
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1871523399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012824",
"telephone_number": "478-744-9603",
"fax_number": "478-744-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 FIRST STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-744-9603",
"fax_number": "478-744-9552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACON LUNG CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "MURAINA",
"authorized_official_first_name": "OYEKUMLE",
"authorized_official_middle_name": "ISMAIL",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "478-744-9603",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "246308625A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.