Healthcare Provider Details

I. General information

NPI: 1154936193
Provider Name (Legal Business Name): AMERICAN RESPIRATORY SPECIALIST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 SHIREBOURN
HICKORY NC
28602-8264
US

IV. Provider business mailing address

1345 SHIREBOURN
HICKORY NC
28602-8264
US

V. Phone/Fax

Practice location:
  • Phone: 980-829-7615
  • Fax:
Mailing address:
  • Phone: 980-829-7615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2278P1004X
TaxonomyPulmonary Diagnostics Certified Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RUSSELL SCHWEIGHARDT SR.
Title or Position: MANAGER
Credential:
Phone: 980-829-7615