Integrative Health Institute LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

005257 Issued in AZ

Legal business name

INTEGRATIVE HEALTH INSTITUTE LLC

Practice address

7659 E Pinnacle Peak Rd
Ste 105
Scottsdale, AZ 85255-6297

Phone

(480) 222-4600

Fax

(480) 222-4619

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bryan R Glick, DO

Title

Owner

Phone

(480) 222-4600

Specialties & licenses 1

Addresses

Other names 1

• Bryan R Glick MBR Other name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Glick Medical Group, PLLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1285305144
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shantel Tanae Glick, PA-C

  • Physician Assistant
  • Peoria, AZ
  • NPI 1841342631
  NPD

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1093060717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556297",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 E PINNACLE PEAK RD",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556297",
            "telephone_number": "480-222-4600",
            "fax_number": "480-222-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-222-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "005257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan R Glick MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.