Organization Active NPI

Pulmonary Medicine of Nacogdoches, P.a.

  • Pulmonary Disease Physician
  • Nacogdoches, TX
National Provider Identifier
1922315696
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F6346 Issued in TX
Legal business name
PULMONARY MEDICINE OF NACOGDOCHES, P.A.
Practice address
4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239
Phone
(936) 205-5960
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Loyd George Whitley, M.D.
Title
Owner
Phone
(936) 205-5960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X F6346 TX Primary

Addresses

Primary practice location

4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239

Mailing address

4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239
Phone (936) 205-5960

National Provider Directory

National Provider Directory

Locations

4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965
Phone (936) 205-5960

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1922315696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE. 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE. 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE OF NACOGDOCHES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "LOYD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-205-5960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.