MEDICARE: PULMONARY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35047519	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	2600 TUSCARAWAS ST W
Second Line	:	STE 100
City	:	CANTON
State	:	OH
Zip	:	44708-4696
Country	:	US
Telephone Number	:	330-452-8844
Fax Number	:	330-452-7012

Provider Business Practice Location Address
First Line	:	2600 TUSCARAWAS ST W
Second Line	:	STE 100
City	:	CANTON
State	:	OH
Zip	:	44708-4696
Country	:	US
Telephone Number	:	330-452-8844
Fax Number	:	330-452-7012

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	KRISTI CAIN
Credential	:
Telephone Number	:	330-452-8844

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/29/2024

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Directions to “PULMONARY PHYSICIANS INC ” Practice Location

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