NPIMap

Organization Active NPI

Pulmonary, Critical Care and Sleep Medicine Associates, LLC

  • Pulmonary Disease Physician
  • Hamilton, OH
National Provider Identifier
1952407371
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY, CRITICAL CARE AND SLEEP MEDICINE ASSOCIATES, LLC
Practice address
25 Office Park Dr
Suite B
Hamilton, OH 45013-1496
Phone
(513) 893-5864
Fax
(513) 893-5865
NPI assigned
Sep 15, 2006
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mrs. Terri L Johnson
Title
Practice Administrator
Phone
(513) 893-5864

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35097011 OH

Addresses

Primary practice location

25 Office Park Dr
Suite B
Hamilton, OH 45013-1496

Mailing address

25 Office Park Dr
Hamilton, OH 45013-1496
Phone (513) 893-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061106000353 OH Part B Supplier - Clinic/Group Practice 1052318060 Receives reassigned benefits from 5 practitioners
Practice locations: Hamilton, OH; West Chester, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1059631Pulmonary, Critical Care & Sleep25 Office Park Drive, Hamilton, OH 45013Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

25 Office Park Dr
Hamilton, OH 45013
Phone (513) 893-5864

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1952407371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131496",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "address_2": "SUITE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131496",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY, CRITICAL CARE AND SLEEP MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "513-893-5864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35097011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.