Internal Medicine Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00048708 Issued in WA

Legal business name

INTERNAL MEDICINE CLINIC LLC

Practice address

202 Auburn Ave
Auburn, WA 98002-5015

Phone

(253) 833-1735

Fax

(253) 833-8515

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Jaswant G Virk, M.D

Title

Physician

Phone

(253) 833-1735

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1104064641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 AUBURN AVE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025015",
            "telephone_number": "253-833-1735",
            "fax_number": "253-833-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AUBURN AVE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025015",
            "telephone_number": "253-833-1735",
            "fax_number": "253-833-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "JASWANT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-833-1735",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00048708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ingalsbe, LMP
• Artonyon Scott Ingram, C.L
• Cameron Michael Ingram, MD
• Inmed Inc.
• Tamerra L Inslee, O.T.
• Internal Medicine Consultants LLC
• International Community Health Services
• Investments by M&J LLC
• Leah Irby
• Zachary Irelan, PA-C

• Primary Care Clinic/Center in Auburn, WA
• Providers in Auburn, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.