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JACKSON COUNTY PULMONARY PC NPI 1629002753


NPI Information

NPI: 1629002753
Provider Name: JACKSON COUNTY PULMONARY PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4911 S ARROWHEAD DRIVE
SUITE 201
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 478-8113
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JACKSON COUNTY PULMONARY PC is a pulmonary disease internal medicine in Independence, MO. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. JACKSON COUNTY PULMONARY PC NPI is 1629002753. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4911 S ARROWHEAD DRIVE
SUITE 201
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 478-8113
Fax: (816) 478-8108

The provider's authorized official is Alfonso J Martinez .
The authorized official title is President and has the following contact phone number (816) 478-8113.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B370000AMEDICARE ID-TYPE UNSPECIFIED
217529013OTHERBCBS
3503414609MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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