Integrated Health, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

INTEGRATED HEALTH, LLC

Practice address

360 E Pulaski Hwy FL 3
Elkton, MD 21921-6457

Phone

(844) 365-7246

NPI assigned

Sep 14, 2021

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey Roper

Title

Office Administrator

Phone

(844) 365-2202

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Integrated Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Health, LLC

  • Adult Medicine Physician
  • Wilmington, DE
  • NPI 1063229425
  NPD tax ID
• Integrated Health, LLC

  • Adult Medicine Physician
  • Middletown, DE
  • NPI 1629885082
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramona Crone, FNP

  • Family Nurse Practitioner
  • Centreville, MD
  • NPI 1992487045

  DE

  Medicare reassignment Care Compare group NPD
• Lisa Ann Hermansky, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elkton, MD
  • NPI 1609488337

  DE, Primary Care

  Medicare reassignment Care Compare group NPD
• Christina Marie Marioni, FNP-C

  • Family Nurse Practitioner
  • Elkton, MD
  • NPI 1114570009

  DE

  Medicare reassignment Care Compare group NPD
• Stephen McCann, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkton, MD
  • NPI 1528605912

  DE, Primary Care

  Medicare reassignment NPD
• Julia Moses Nutter, CRNP

  • Family Nurse Practitioner
  • Middletown, DE
  • NPI 1528331774

  MD

  Medicare reassignment NPD
• Venkatesh Sundararajan, M.D.

  • Pain Medicine Physician
  • Horsham, PA
  • NPI 1003022500
  NPD (past)
• Chee Houe Woo, MD

  • Pain Medicine Physician
  • Wilmington, DE
  • NPI 1992703805

  Interventional Pain Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1063182830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E PULASKI HWY FL 3",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216457",
            "telephone_number": "844-365-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1197 Airport Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199636491",
            "country_code": "US",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Carter Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095845",
            "country_code": "US",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Limestone Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Silverside Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198091768",
            "country_code": "US",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "844-365-2202"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Elkton, MD
• Providers in Elkton, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.