Integrated Medical Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32263 Issued in AL

Legal business name

INTEGRATED MEDICAL CLINIC LLC

Practice address

510 S 4TH St
Gadsden, AL 35901-5217

Phone

(256) 438-5008

Fax

(256) 467-4009

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Karl Peter M Uy, MD

Title

Director

Phone

(256) 438-5008

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Marian Flores Manankil, MD

  • Cardiovascular Disease Physician
  • Gadsden, AL
  • NPI 1124276951
  Medicare reassignment Care Compare group NPD
• Karl Peter Maxino Uy, M.D.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1205064219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1093237125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "PETER M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-438-5008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "32263",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD31385",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "MD31385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynette Hyde, CRNA
• Malachy Ikechukwu Ijemere, MD
• Industrial Physical Therapy, LLC
• Inspire Health Services LLC
• Institutional Pharmacy Solutions LLC (Institutional Pharmacy Solutions)
• Integrity Medical LLC
• Gordon R Isbell III, DMD
• Gordon Roswell Isbell IV, D.M.D
• Jessica Isbell, CRNP
• Sathyan V Iyer, M.D.

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.