INTEGRATED MEDICAL CLINIC LLC (NPI# 1093237125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093237125 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL CLINIC LLC |
| Practice Address |
512 S 4th St Gadsden AL 35901-5217 |
| Practice Telephone | 2564385008 |
| Practice Fax Number | 2564674009 |
| Mailing Telephone | (256) 438-5008 |
| Mailing Fax Number | 2564674009 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | KARL PETER M UY (DIRECTOR) |
| Authorized Official Telephone | 2564385008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD31385 | AL | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD31385 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 32263 | AL | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Integrated Medical Clinic LLC | 512 South 4th Street, Gadsden, AL 35901 |
| Street Address |
512 S 4TH ST |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895624 | James N Wallace | Internal Medicine | 512 S 4th St, Gadsden, AL 35901-5217 | 2006-01-12 |
| 1205064219 | Karl Peter Maxino Uy | Family Medicine | 512 S 4th St, Gadsden, AL 35901-5217 | 2009-06-29 |
| 1124276951 | Marian Flores Manankil | Internal Medicine | 512 S 4th St, Gadsden, AL 35901-5217 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285089250 | Ugochukwu Aghazu | Family Medicine | 600 S. 3rd Street, Gadsden, AL 35901-5306 | 2016-04-27 |
| 1013315001 | Jonathan H Fuller | Family Medicine | 1401 Rainbow Dr Ste B, Gadsden, AL 35901-5319 | 2014-12-08 |
| 1710398441 | Complete Medical Care, P.C. | Family Medicine | 120 Ridgecrest Rd, Gadsden, AL 35901-6422 | 2014-05-15 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| 1346361912 | Zynia Pua-vines, Md, PC | Family Medicine | 501 S 3rd St, Gadsden, AL 35901-5301 | 2007-04-02 |
| 1831210566 | Courtney M Lowe | Family Medicine | 1405a Rainbow Dr, Gadsden, AL 35901-5319 | 2007-04-02 |
| 1801954821 | Edward Hubbard Thompson | Family Medicine | 1956 Rainbow Dr, Gadsden, AL 35901-5567 | 2006-12-04 |
| 1215018932 | Michael Z Vitkin | Family Medicine | 1405 Rainbow Dr, Suite A, Gadsden, AL 35901-5319 | 2006-10-18 |
| 1982785473 | Lawrence Ricardo Ware | Family Medicine | 917 W Tomahawk Trl, Gadsden, AL 35903-3647 | 2006-10-18 |
| 1255344891 | Akil Taherbhai | Family Medicine | Doctors Med Care of Gadsden, P.C., 3206 W. Meighan Blvd., Gadsden, AL 35904-1726 | 2006-08-14 |
| Find all providers in GADSDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.