Organization Active NPI

Pulmonary Health Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lone Tree, CO
National Provider Identifier
1922216704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
42005410000 Issued in CO
Legal business name
PULMONARY HEALTH GROUP INC.
Practice address
9107 E Star Hill LN
Lone Tree, CO 80124-5404
Phone
(303) 332-4916
Fax
(303) 799-7366
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lyudmila Medko
Title
President
Phone
(303) 332-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 42005410000 CO Primary

Addresses

Primary practice location

9107 E Star Hill LN
Lone Tree, CO 80124-5404

Mailing address

9107 E Star Hill LN
Lone Tree, CO 80124-5404
Phone (303) 332-4916

Other identifiers 1

IdentifierTypeStateIssuer
42530733MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922216704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 E STAR HILL LN",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245404",
            "telephone_number": "303-332-4916",
            "fax_number": "303-799-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 E STAR HILL LN",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245404",
            "telephone_number": "303-332-4916",
            "fax_number": "303-799-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDKO",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-332-4916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "42005410000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42530733",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.