INTEGRATED MEDICAL STAFF OF JACKSON PC NPI 1659779445

NPI Information

NPI: 1659779445
Provider Name: INTEGRATED MEDICAL STAFF OF JACKSON PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
828 N PARKWAY
JACKSON, TN
ZIP 38305
Phone: (731) 422-0330
Get Directions

INTEGRATED MEDICAL STAFF OF JACKSON PC is a family medicine in Jackson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTEGRATED MEDICAL STAFF OF JACKSON PC NPI is 1659779445. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

828 N PARKWAY
JACKSON, TN
ZIP 38305-032
Phone: (731) 422-0330
Fax: (731) 422-0499

The provider's authorized official is Mark Allen .
The authorized official title is Ceo and has the following contact phone number (731) 422-0330.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 12/11/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	207N00000X	Dermatology		No
3	207R00000X	Internal Medicine		No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RG0100X	Internal Medicine	Gastroenterology	No
7	207RH0000X	Internal Medicine	Hematology	No
8	207RI0011X	Internal Medicine	Interventional Cardiology	No
9	207RI0200X	Internal Medicine	Infectious Disease	No
10	207RN0300X	Internal Medicine	Nephrology	No
11	207RP1001X	Internal Medicine	Pulmonary Disease	No
12	207RS0012X	Internal Medicine	Sleep Medicine	No
13	207V00000X	Obstetrics & Gynecology		No
14	208M00000X	Hospitalist		No
15	207Q00000X	Family Medicine		Yes

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

NPI Synchronization or Removal

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