PULMONARY REHABILITATION ASSOCIATES NPI 1720205065

NPI Information

NPI: 1720205065
Provider Name: PULMONARY REHABILITATION ASSOCIATES
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 36D0687648

Address:
925 TRAILWOOD DR
YOUNGSTOWN, OH
ZIP 44512
Phone: (330) 758-7575
Get Directions

PULMONARY REHABILITATION ASSOCIATES is a pulmonary disease internal medicine in Youngstown, OH. 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. PULMONARY REHABILITATION ASSOCIATES NPI is 1720205065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

925 TRAILWOOD DR
YOUNGSTOWN, OH
ZIP 44512-008
Phone: (330) 758-7575
Fax: (330) 758-1833

The provider's authorized official is Marijo D Shuntich .
The authorized official title is Chief Operating Officer and has the following contact phone number (330) 758-7575.

The CLIA number assigned to this NPI record is 36D0687648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 1/24/2012.

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
1	207RC0200X	Internal Medicine	Critical Care Medicine			No
2	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

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
1	=========00	OTHER	OHIO	BWC
2	0763973	MEDICAID	OHIO
3	607700	OTHER	OHIO	BLACK LUNG
4	PU9928771	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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: 4/28/2024

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