INTEGRATED MEDICAL GROUP
NPI 1366406761
Internal Medicine in Pottsville, PA

NPI Status: Active since April 13, 2006

Contact Information

48 TUNNEL RD
SUITE 203
POTTSVILLE, PA
ZIP 17901
Phone: (570) 622-5455
Fax: (570) 622-5493

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  • Organization
  • Internal Medicine

About INTEGRATED MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Integrated Medical Group, an internist established in Pottsville, Pennsylvania operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1366406761 assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is David Gonzalez (Credentialing Contact)

NPI
1366406761
Provider Name
INTEGRATED MEDICAL GROUP
Entity Type
Organization
Location Address
48 TUNNEL RD SUITE 203 POTTSVILLE, PA 17901
Location Phone
(570) 622-5455
Location Fax
(570) 622-5493
Mailing Address
48 TUNNEL RD SUITE 203 POTTSVILLE, PA 17901
Mailing Phone
(570) 622-5455
Mailing Fax
(570) 622-5493
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2006
Last Update Date
08-22-2020
Code Navigator

An internist like Integrated Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID GONZALEZ

Authorized Official Title
CREDENTIALING CONTACT
Authorized Official Phone
(570) 622-5455

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366406761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231268012712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 8 + 0 + 1 + 2 + 7 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1366406761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819160 MANDY LYNN BIXLER PT DPT
Individual
Physical Therapist48 TUNNEL RD
POTTSVILLE, PA 17901
(570) 622-0182
1770560633MR. ANDREW M SCHRAG BSC PT
Individual
Physical Therapist48 TUNNEL RD STE. 202
POTTSVILLE, PA 17901
(570) 622-0182
1811967649DR. DANIEL BOBROWSKI MD
Individual
Surgery48 TUNNEL RD SUITE 205
POTTSVILLE, PA 17901
(570) 622-1400
1518930346DR. CARLOS X VILLARREAL MD
Individual
Surgery48 TUNNEL RD SUITE 205
POTTSVILLE, PA 17901
(570) 622-1400
1003880006DR. STEPHEN O SLUSSER M.D.
Individual
Internal Medicine (Gastroenterology)48 TUNNEL RD SUITE 104
POTTSVILLE, PA 17901
(570) 622-5555
1023082054DR. CHARLES E GREEN M.D.
Individual
Internal Medicine (Gastroenterology)48 TUNNEL RD SUITE 104
POTTSVILLE, PA 17901
(570) 622-5555
1427022243DR. ROBERT PETERS III M.D.
Individual
Internal Medicine (Gastroenterology)48 TUNNEL RD SUITE 104
POTTSVILLE, PA 17901
(570) 622-5555
1831168921 PHOEBE HALL CRNP
Individual
Registered Nurse48 TUNNEL RD SUITE 104
POTTSVILLE, PA 17901
(570) 622-5555
1932160223JOHN B. CHAWLUK, MD, PC
Organization
Specialist48 TUNNEL RD SUITE 101
POTTSVILLE, PA 17901
(570) 622-2245
1114988714 COLBY ALLAN POWELL PA-C
Individual
Physician Assistant (Medical)48 TUNNEL RD SUITE 101
POTTSVILLE, PA 17901
(570) 622-2245
1851355226INTEGRATED MEDICAL GROUP
Organization
Urology48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901
(570) 622-5455
1073577482INTEGRATED MEDICAL GROUP
Organization
Internal Medicine (Gastroenterology)48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901
(570) 622-5455
1346269784SCHUYLKILL ENDOSCOPY CENTER
Organization
Clinic/Center (Endoscopy)48 TUNNEL RD SUITE 103
POTTSVILLE, PA 17901
(570) 622-6520
1093893364 ROBERT MICHAEL MURPHY PT
Individual
Physical Therapist48 TUNNEL RD EVERGREEN PROFESSIONAL SUITES, SUITE 202
POTTSVILLE, PA 17901
(570) 622-0182
1841438264THE POTTSVILLE PA ENDOSCOPY ASC, LLP (CRNA)
Organization
Registered Nurse48 TUNNEL RD STE 103
POTTSVILLE, PA 17901
(570) 622-6520
1326361031 REBECCA JARRETT MSPT
Individual
Physical Therapist48 TUNNEL RD SUITE 202
POTTSVILLE, PA 17901
(570) 622-0182
1205129293HERBERT L KUNKLE MD PC
Organization
Orthopaedic Surgery48 TUNNEL RD SUITE 202
POTTSVILLE, PA 17901
(610) 377-2224
1518395573MRS. ROBIN ROCHE ZOOK ANP-BC
Individual
Nurse Practitioner (Adult Health)48 TUNNEL RD
POTTSVILLE, PA 17901
(570) 622-5455
1811093503 BERNADETTE M TROSTLE PA
Individual
Physician Assistant (Medical)48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901
(570) 622-5455
1639386303DR. JASON PHILLIPS M.D.
Individual
Orthopaedic Surgery (Sports Medicine)48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901
(570) 624-4777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366406761, enumerated in the NPI registry as an "organization" on April 13, 2006

The provider is located at 48 Tunnel Rd Suite 203 Pottsville, Pa 17901 and the phone number is (570) 622-5455

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on April 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.