Provider Demographics
NPI:1376688614
Name:LUNG AND SLEEP DISORDER INSTITUTE PLLC
Entity Type:Organization
Organization Name:LUNG AND SLEEP DISORDER INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHULDHEISZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-679-0179
Mailing Address - Street 1:46 TURPEN CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-3464
Mailing Address - Country:US
Mailing Address - Phone:606-679-0179
Mailing Address - Fax:606-679-2580
Practice Address - Street 1:46 TURPEN CT
Practice Address - Street 2:SUITE B
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3464
Practice Address - Country:US
Practice Address - Phone:606-679-0179
Practice Address - Fax:606-679-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31007174400000X, 207RS0012X
363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64100159Medicaid
9930Medicare PIN
KYG56806Medicare UPIN