EXECUTIVE PULMONARY MEDICINE, PC – Internal Medicine Physician, NPI 1720041197

EXECUTIVE PULMONARY MEDICINE, PC is a healthcare provider. based in Poplar bluff, Missouri. specializing in Internal Medicine Physician. The organization holds a License No. 2003009194 (MO). The NPI Number for EXECUTIVE PULMONARY MEDICINE, PC is 1720041197

Main info

Organization
Name
EXECUTIVE PULMONARY MEDICINE, PC
NPI
1720041197
Phone
(573) 785-4601
Address
PO BOX 1087
Authorized Official
MR. DENNIS DANIELS OWNER MD
Enumeration Date
7 April 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EXECUTIVE PULMONARY MEDICINE, PC

  • PO BOX 1087

    POPLAR BLUFF, MO 639021087

    Phone: (573) 785-4601

    Fax: (573) 686-0178

    Type: Mailing

  • Greenwood Drive, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639012430

    Phone: (573) 776-7740

    Fax: (573) 776-7750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63902)

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Reviews

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Frequently asked questions

What unique ID ties claims to EXECUTIVE PULMONARY MEDICINE, PC?
NPI 1720041197 is assigned to EXECUTIVE PULMONARY MEDICINE, PC under the national enumeration system.
Is EXECUTIVE PULMONARY MEDICINE, PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize EXECUTIVE PULMONARY MEDICINE, PC's specialty in plain language?
Clinically, the directory lists EXECUTIVE PULMONARY MEDICINE, PC with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for EXECUTIVE PULMONARY MEDICINE, PC?
The page summarizes Poplar Bluff, Missouri for EXECUTIVE PULMONARY MEDICINE, PC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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