Provider Demographics
NPI:1699590166
Name:PULMACARE LLC
Entity type:Organization
Organization Name:PULMACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:NEDZELSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-228-1918
Mailing Address - Street 1:6600 COLLEGE BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1522
Mailing Address - Country:US
Mailing Address - Phone:913-647-1000
Mailing Address - Fax:913-281-6447
Practice Address - Street 1:6600 COLLEGE BLVD STE 310
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1522
Practice Address - Country:US
Practice Address - Phone:913-647-1000
Practice Address - Fax:913-281-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty