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INTEGRATED MEDICAL GROUP P.C. NPI 1053695148


NPI Information

NPI: 1053695148
Provider Name: INTEGRATED MEDICAL GROUP, P.C.

Doing Business As: IMG PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1626 MOUNT HOPE AVE
POTTSVILLE, PA
ZIP 17901
Phone: (570) 622-2230
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INTEGRATED MEDICAL GROUP, P.C. is a podiatrist in Pottsville, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. INTEGRATED MEDICAL GROUP, P.C. NPI is 1053695148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Img Podiatry.

The provider's business location address is:

1626 MOUNT HOPE AVE
POTTSVILLE, PA
ZIP 17901-302
Phone: (570) 622-2230
Fax: (570) 622-5724

The provider's authorized official is Joseph C Pillus .
The authorized official title is Chief Executive Officer and has the following contact phone number (570) 622-5455.

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.


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
1213E00000XPodiatristYes

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

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