Provider Demographics
NPI:1174738421
Name:THE PULMONARY AND SLEEP CONSULTANTS, LLC
Entity type:Organization
Organization Name:THE PULMONARY AND SLEEP CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-392-6060
Mailing Address - Street 1:689 MEDICAL PARK DR STE 203
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37772-5797
Mailing Address - Country:US
Mailing Address - Phone:865-986-9151
Mailing Address - Fax:865-986-9153
Practice Address - Street 1:108 LOVELL RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1903
Practice Address - Country:US
Practice Address - Phone:865-392-1240
Practice Address - Fax:865-392-1242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38206207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370073Medicaid
TN3370073Medicare PIN