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INTEGRATED MEDICAL SERVICES INC NPI 1336220284


NPI Information

NPI: 1336220284
Provider Name: INTEGRATED MEDICAL SERVICES, INC

Other Name: DR MEGAN BLACKBURN MD

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 03D2163343

Address:
10815 W MCDOWELL RD STE 201
AVONDALE, AZ
ZIP 85392
Phone: (623) 433-0230
Get Directions

INTEGRATED MEDICAL SERVICES, INC is a neurology psychiatry neurology in Avondale, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. INTEGRATED MEDICAL SERVICES, INC NPI is 1336220284. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Megan Blackburn Md.

The provider's business location address is:

10815 W MCDOWELL RD STE 201
AVONDALE, AZ
ZIP 85392-010
Phone: (623) 433-0230
Fax: (623) 433-0211

The provider's authorized official is Leslie Goetz .
The authorized official title is Credentialing Supervisor and has the following contact phone number (602) 633-3848.

The CLIA number assigned to this NPI record is 03D2163343 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/7/2022.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RI0011XInternal MedicineInterventional CardiologyNo
42084N0400XPsychiatry & NeurologyNeurologyYes

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: 11/14/2023

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.