Provider Type Icon

ADVANCED INTEGRATIVE MEDICINE PC NPI 1265603104


NPI Information

NPI: 1265603104
Provider Name: ADVANCED INTEGRATIVE MEDICINE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10455 PARK MEADOWS DR
BUILDING 1 SUITE 1
LONE TREE, CO
ZIP 80124
Phone: (303) 708-0246
Get Directions

ADVANCED INTEGRATIVE MEDICINE PC is an internal medicine in Lone Tree, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ADVANCED INTEGRATIVE MEDICINE PC NPI is 1265603104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10455 PARK MEADOWS DR
BUILDING 1 SUITE 1
LONE TREE, CO
ZIP 80124-414
Phone: (303) 708-0246
Fax: (303) 708-0247

The provider's authorized official is Randall L Snook .
The authorized official title is Owner and has the following contact phone number (303) 708-0246.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 5/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine27722COLORADONo
2207Q00000XFamily Medicine37225COLORADONo
3207R00000XInternal Medicine34633COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1COB4030MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.