Executive Pulmonary Medicine, PC
NPI 1720041197 · Internal Medicine Physician · Poplar Bluff, MO
Executive Pulmonary Medicine, PC is a Internal Medicine Physician organization in Poplar Bluff, MO (NPI 1720041197).
Provider details
- NPI number
- 1720041197
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dennis Daniels, Owner(573) 776-7740
- License
- 2003009194 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Executive Pulmonary Medicine, PC's NPI number?
- Executive Pulmonary Medicine, PC's National Provider Identifier (NPI) is 1720041197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Pulmonary Medicine, PC?
- Executive Pulmonary Medicine, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Executive Pulmonary Medicine, PC located?
- Executive Pulmonary Medicine, PC's practice location on file with NPPES is 1906a Greenwood Dr, Poplar Bluff, MO 63901-2430.
- What is Executive Pulmonary Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Executive Pulmonary Medicine, PC is (573) 776-7740.
- Who is the authorized official for Executive Pulmonary Medicine, PC?
- The authorized official listed on Executive Pulmonary Medicine, PC's NPPES record is Dennis Daniels, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Pulmonary Medicine, PC's NPI active?
- Yes — Executive Pulmonary Medicine, PC's NPI (1720041197) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.