Pulmonary and Primary Care Associates

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

CS006908 Issued in MI

Legal business name

PULMONARY AND PRIMARY CARE ASSOCIATES

Practice address

1711 S Stephenson Ave
Suite 215
Iron Mountain, MI 49801-3639

Phone

(906) 779-7050

Fax

(906) 774-3325

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl Ashley Smoot, D.O, D.A.B.S.M,

Title

President

Phone

(906) 776-5845

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 1

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

• William A Smoot, MD

  • Emergency Medicine Physician
  • Rochester, MN
  • NPI 1568698942
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1871663443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-7050",
            "fax_number": "906-774-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "address_2": "SUITE 215",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-779-7050",
            "fax_number": "906-774-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-776-5845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O, D.A.B.S.M,"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "CS006908",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "CS006908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN PRIOR 2007",
            "identifier": "5220016",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "P39080001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "OP39080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy K Powers, RN
• Premise Health of Michigan Medical PC
• Jacob Prusi
• Lindsey Jo Prusi
• Psych-Services, PLLC
• Nicholas Stuart Raboin, D.C.
• Paul Raboin, O.D.
• Radiology Associates of Iron Mountain P L C
• Elizabeth Grace Ramlow, OD
• Thom Joseph Rancour, LMSW

• Sleep Medicine (Internal Medicine) Physician in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.