JACKSON COUNTY PULMONARY PC – NPI #1629002753
Internal Medicine

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 is a provider located in INDEPENDENCE, MO. NPPES has assigned the NPI number 1629002753 to JACKSON COUNTY PULMONARY PC on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 14 years ago on Mar 07, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON COUNTY PULMONARY PC below.

NPI Profile for
JACKSON COUNTY PULMONARY PC

NPI Number
1629002753
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON COUNTY PULMONARY PC
Primary location
4911 S ARROWHEAD DRIVE
SUITE 201
INDEPENDENCE, MO 64055
Phone: (816) 478-8113 Fax: (816) 478-8108
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALFONSO MARTINEZ
PRESIDENT
Phone: (816) 478-8113
Updated
Identifiers

Identifiers for JACKSON COUNTY PULMONARY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS17529013
MEDICAIDMO503414609
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.