Executive Pulmonary Medicine, PC

Executive Pulmonary Medicine, PC is a healthcare organization registered as Internal Medicine Physician in Poplar Bluff, MO, holding Type 2 (organization) NPI 1720041197 since 2006. The authorized official on file is Dennis Daniels, Owner.

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NPI	1720041197
Entity type	Organization (Type 2)
Legal business name	Executive Pulmonary Medicine, PC
Practice address	1906A GREENWOOD DR, Poplar Bluff, MO, 63901
Phone	5737767740
Fax	5737767750
Enumeration date	2006-04-07
Last updated in NPPES	2020-08-22

Authorized official

Name	Dennis Daniels
Title	Owner
Phone	5737767740

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	2003009194	MO

Copy-ready billing details

Provider: Executive Pulmonary Medicine, PC
NPI: 1720041197
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 1906A GREENWOOD DR, Poplar Bluff, MO, 63901

Providers at this address

NPI	Name	Type	Specialty	Location
1265404222	Dennis Daniels	Individual	Pulmonary Disease Physician	Poplar Bluff, MO
1265495642	Woman To Woman	Organization	Gynecologic Oncology Physician	Poplar Bluff, MO

Verify this record

Cross-check NPI 1720041197 against the authoritative CMS record: view Executive Pulmonary Medicine, PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Executive Pulmonary Medicine, PC located?

The practice location on file with NPPES is in Poplar Bluff, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.