FREDERICKSBURG PULMONARY ASSOCIATES, P.A. (NPI# 1073522561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073522561 |
| Entity Type | Organization |
| Organization Name | FREDERICKSBURG PULMONARY ASSOCIATES, P.A. |
| Practice Address |
205 West Windcrest Suite 340 Fredericksburg TX 78624 |
| Practice Telephone | 8309971010 |
| Practice Fax Number | 8309971076 |
| Mailing Telephone | 8309971010 |
| Mailing Fax Number | 8309971076 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | KENNETH TERRELL (PRESIDENT) |
| Authorized Official Telephone | 8309971010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0038NC | 01 |
| TX | 179077601 | 05 | |
| TX | RAILROAD MEDICARE PART B | DE6018 | 01 |
| Street Address |
205 WEST WINDCREST SUITE 340 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699710202 | Genesis Eldercare Physician Services LLC | Internal Medicine | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2006-06-18 |
| 1043209596 | Nicholas Kallay | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-18 |
| 1104061696 | Genesis Eldercare Physician Services I LLC | Internal Medicine | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2008-12-11 |
| 1164625265 | Hala Moukhachen | Internal Medicine | 4604 Spotsylvania Pkwy, Suite 200, Fredericksburg, VA 22408-7763 | 2007-06-06 |
| 1053340554 | Pulmonary Associates of Fredericksburg Inc | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2006-06-30 |
| 1548259823 | Jeffrey R. Rehm | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-19 |
| 1760471007 | Randall B. Currie | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-19 |
| 1083603344 | Richard A. Fiero | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.