ADVANCED INTEGRATIVE MEDICINE LLC (NPI# 1851884977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851884977 |
| Entity Type | Organization |
| Organization Name | ADVANCED INTEGRATIVE MEDICINE LLC |
| Other Organization Name | ADVANCED INTEGRATIVE MEDICINE LLC |
| Practice Address |
9305 Kings Hwy King George VA 22485-3423 |
| Practice Telephone | 5407752250 |
| Practice Fax Number | 5407752448 |
| Mailing Telephone | 5407752250 |
| Mailing Fax Number | 5407752448 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | SHAWN DESMOND PALLOTTI (ADMINISTRATOR) |
| Authorized Official Telephone | 5407752250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Integrative Medicine LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Integrative Medicine LLC | 9305 Kings Highway, King George, Virginia 22485 |
| Colorado Business Entities | Advanced Integrative Medicine LLC | 10455 Park Meadows Drive, Bldg 1, Unit 102, Lone Tree, CO 80124-5414 |
| Street Address |
9305 KINGS HWY |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336263250 | Shawn Desmond Pallotti | Chiropractor | 9305 Kings Hwy, Suite A, King George, VA 22485-3423 | 2007-03-17 |
| 1841845146 | Candice Owens | Chiropractor | 9305 Kings Hwy, King George, VA 22485-3423 | 2019-08-05 |
| 1366872855 | Faye Krause | Dietitian, Registered | 9305 Kings Hwy, King George, VA 22485-3423 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629857 | Roberto Ramos Canizares | General Practice | 11131 Journal Pkwy, King George, VA 22485-3468 | 2005-09-20 |
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|---|---|---|---|---|
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| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
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| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
Please comment or provide details below to improve the information on ADVANCED INTEGRATIVE MEDICINE LLC.
| 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.