MEDICARE: PULMONARY CONSULTANTS,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	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CE7661	OTHER	MO	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1164534210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY CONSULTANTS,INC

Provider Business Mailing Address
First Line	:	11133 DUNN RD STE 2335
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6165
Country	:	US
Telephone Number	:	314-653-5007
Fax Number	:

Provider Business Practice Location Address
First Line	:	11133 DUNN RD
Second Line	:	SUIRE 2335
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6119
Country	:	US
Telephone Number	:	314-653-5007
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MYRON H JACOBS
Credential	:	MD
Telephone Number	:	314-653-5007

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/22/2026

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Directions to “PULMONARY CONSULTANTS,INC ” Practice Location

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