Provider Demographics
NPI:1952412231
Name:METROPOLITAN PULMONARY AND SLEEP MEDICINE PC
Entity Type:Organization
Organization Name:METROPOLITAN PULMONARY AND SLEEP MEDICINE PC
Other - Org Name:METROPOLITAN PULMONARY AND HOSPITAL MEDICINE, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-524-5522
Mailing Address - Street 1:290 NE TUDOR RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5696
Mailing Address - Country:US
Mailing Address - Phone:816-524-5522
Mailing Address - Fax:816-524-4798
Practice Address - Street 1:290 NE TUDOR RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5696
Practice Address - Country:US
Practice Address - Phone:816-524-5522
Practice Address - Fax:816-524-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO508024403Medicaid
KS200374600AMedicaid
MO508024403Medicaid
KSE110000BMedicare PIN