PCCM LLC (NPI# 1275172942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275172942 |
| Entity Type | Organization |
| Organization Name | PCCM LLC |
| Practice Address |
3021 Airport Pulling Rd N Ste 103 Naples FL 34105-3077 |
| Practice Telephone | 2392080381 |
| Practice Fax Number | 3057211545 |
| Mailing Telephone | 2392080381 |
| Mailing Fax Number | 3057211545 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | KENNETH BOOKMAN (PHYSICIAN) |
| Authorized Official Telephone | 2392080381 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
3021 AIRPORT PULLING RD N STE 103 |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1639123359 | Lawrence H Albert | Internal Medicine | 3021 Airport Pulling Rd N, Suite 103, Naples, FL 34105-3077 | 2006-05-19 |
| 1467401612 | Gary Kevin Sporn | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2006-05-08 |
| 1770532921 | Southwest Florida Pulmonary Specialists Pa | Internal Medicine | 1012 Goodlette Rd N, Suite 100, Naples, FL 34102-5463 | 2006-05-07 |
| 1750353322 | Ismael Martin | Internal Medicine | 6101 Pine Ridge Rd Fl 3, Naples, FL 34119-3900 | 2006-02-07 |
| 1134647886 | Community Intensivists of Florida | Internal Medicine | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2017-09-01 |
| 1336514850 | Premier Pulmonary & Sleep LLC | Internal Medicine | 3021 Airport Pulling Rd N, Naples, FL 34105-3077 | 2015-12-09 |
| 1225322902 | Brenda Maria Juan-guardela | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2011-05-31 |
| 1992936488 | Jose Ruben Valle | Internal Medicine | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2009-07-31 |
| 1558523050 | Lisette Delgado Sanchez | Internal Medicine | 1855 Veterans Park Dr, Suite 302, Naples, FL 34109-0446 | 2008-06-26 |
| Find all providers in NAPLES | ||||
Please comment or provide details below to improve the information on PCCM LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.