Provider Demographics
NPI:1215993233
Name:PULMONARY MEDICAL CONSULTANTS INC
Entity type:Organization
Organization Name:PULMONARY MEDICAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:KORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-534-6140
Mailing Address - Street 1:1503 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1330
Mailing Address - Country:US
Mailing Address - Phone:610-534-6140
Mailing Address - Fax:610-534-6144
Practice Address - Street 1:1503 LANSDOWNE AVE
Practice Address - Street 2:SUITE 3007
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1330
Practice Address - Country:US
Practice Address - Phone:610-534-6140
Practice Address - Fax:610-534-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA09081OtherHEALTHPARTNERS
PA7936508Medicaid
PA000573901OtherHIGHMARK B/S
PA0014880600001Medicaid
PA0395498000OtherINDEPENDENCE B/C KHPE
PA573901OtherMEDICARE PTAN
PA31903OtherKEYSTONE MERCY HEALTH PLA
PA93435OtherAETNA U.S HEALTHCARE
PA0395498000OtherINDEPENDENCE B/C KHPE