EXECUTIVE PULMONARY MEDICINE, PC
NPI 1720041197
Internal Medicine in Poplar Bluff, MO

Active since April 07, 2006
1906A GREENWOOD DR, POPLAR BLUFF, MO 63901(573) 776-7740(573) 776-7750 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Executive Pulmonary Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE PULMONARY MEDICINE, PC (NPI 1720041197) is a healthcare organization registered as an internal medicine in Poplar Bluff, Missouri and active in the NPI registry since April 2006. The organization lists Dennis Daniels, Owner, as its authorized official.

NPPES Registry Identity

NPI1720041197
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEXECUTIVE PULMONARY MEDICINE, PC
Location Address1906A GREENWOOD DRPoplar Bluff, MO 63901-2430
Mailing AddressPo Box 1087Poplar Bluff, MO 63902-1087 · (573) 785-4601 · Fax (573) 686-0178
Fax(573) 776-7750
Organization SubpartNo
Authorized OfficialDennis DanielsOwner · (573) 776-7740
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1720041197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2003009194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1906A GREENWOOD DR, Poplar Bluff, MO 63901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1906A GREENWOOD DR
POPLAR BLUFF, MO 63901
Obstetrics & Gynecology (Gynecologic Oncology)
1906A GREENWOOD DR
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Pulmonary Medicine, PC's NPI number?

The NPI number for Executive Pulmonary Medicine, PC is 1720041197. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Executive Pulmonary Medicine, PC located?

Executive Pulmonary Medicine, PC is located at 1906A Greenwood Dr, Poplar Bluff, MO 63901. The listed phone number is (573) 776-7740.

What is Executive Pulmonary Medicine, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Executive Pulmonary Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.