INTEGRATED MEDICAL GROUP, P.C. (NPI# 1598256380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598256380 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL GROUP, P.C. |
| Practice Address |
517 South St Lykens PA 17048-1520 |
| Mailing Address |
82 Tunnel Rd Pottsville PA 17901-3869 |
| Practice Telephone | 5706244777 |
| Mailing Telephone | 5706225455 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | CRAIG HUNT (CEO) |
| Authorized Official Telephone | 5706225455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007751740061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992329270 | Integrated Medical Group, P.C. | Family Medicine | 649 N Lewis Rd Ste 220, Royersford, PA 19468-1234 | 2020-06-03 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| 1700381076 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 48 Tunnel Rd Ste 203, Pottsville, PA 17901-3885 | 2018-03-28 |
| 1336740976 | Integrated Medical Group, P.C. | Family Medicine | 23 N Walnut St, Boyertown, PA 19512-1736 | 2020-11-02 |
| 1245831882 | Integrated Medical Group, P.C. | Family Medicine | 1555 Medical Dr, Pottstown, PA 19464-3224 | 2020-11-02 |
| 1639793912 | Integrated Medical Group, P.C. | Family Medicine | 45 S Pine St, Elverson, PA 19520-9720 | 2020-06-03 |
| 1891286621 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 2201 Ridgewood Rd Ste 200, Wyomissing, PA 19610-1196 | 2018-05-29 |
| 1366887887 | Integrated Medical Group, P.C. | Allergy & Immunology | 2210 Ridgewood Rd, Suite 100, Wyomissing, PA 19610-1287 | 2013-05-10 |
| 1053695148 | Integrated Medical Group, P.C. | Podiatrist | 1626 Mount Hope Ave, Pottsville, PA 17901-1302 | 2011-10-06 |
| Street Address |
517 SOUTH ST |
| City | LYKENS |
| State | PA |
| Zip Code | 17048-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437124336 | Stephanie Louise Felus-harker | Physician Assistant | 517 South St, Lykens, PA 17048-1520 | 2006-02-22 |
| 1689290215 | Hannah Lee Zerbe | Physician Assistant | 517 South St, Lykens, PA 17048-1520 | 2020-06-19 |
| 1477177525 | Joseph Vincent Visceglia | Physician Assistant | 517 South St, Lykens, PA 17048-1520 | 2020-06-04 |
| 1770081291 | Heather Marie Lupole | Registered Nurse | 517 South St, Lykens, PA 17048 | 2018-01-30 |
| 1497277347 | Nicole Marie Leri | Physician Assistant | 517 South St, Lykens, PA 17048-1520 | 2017-07-12 |
| 1407111404 | Kyle Patrick Riganati | Family Medicine | 517 South St, Lykens, PA 17048-1520 | 2012-07-06 |
| 1700086741 | Bradly Wade Starks | Family Medicine | 517 South St, Lykens, PA 17048-1520 | 2007-07-18 |
| 1447282686 | Timothy Allen Henninger | Family Medicine | 517 South St, Lykens, PA 17048-1520 | 2006-07-07 |
| 1669411401 | Edward Henry Lentz | Family Medicine | 517 South St, Lykens, PA 17048-1520 | 2006-06-06 |
| 1922054303 | Danielle Marie Pardee | Physician Assistant | 517 South St, Lykens, PA 17048-1520 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184237 | The Rx Shoppe Inc | Pharmacy | 672 Main St, Lykens, PA 17048-1309 | 2006-07-30 |
| 1457356503 | James Henry Bower | Internal Medicine | 614 Main St, Lykens, PA 17048-1309 | 2005-06-16 |
| 1477670156 | James H. Bower, Md | Internal Medicine | 614 Main St, Lykens, PA 17048-1309 | 2007-03-26 |
| 1003884701 | Paul A Anderson | Psychologist | 614 Main St, Lykens, PA 17048-1309 | 2006-03-09 |
| 1477620086 | Portraits of Life Adult Day Services, Inc. | Clinic/Center | 419 Market Street, Lykens, PA 17048-1316 | 2006-11-29 |
| 1811904410 | Paul Alexander Pianovich | Dentist | 606 S 2nd St, Lykens, PA 17048-1547 | 2006-08-03 |
| 1548209323 | Upper Dauphin Area School District | Local Education Agency (LEA) | 5668 State Route 209, Lykens, PA 17048-8414 | 2006-06-06 |
| 1841472669 | Capital Area Intermediate Unit | Clinic/Center | 5668 State Route 209, Lykens, PA 17048-8414 | 2007-12-04 |
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.