Integrated Health of Indiana Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATED HEALTH OF INDIANA INC

Practice address

209 S State St
North Vernon, IN 47265-1818

Phone

(812) 346-1757

Fax

(812) 346-3595

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Trevor C Miller, D.C.NPI 1518987866

Title

Owner

Phone

(812) 346-1757

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Trevor Charles Miller, D.C.

  • Orthopedic Chiropractor
  • North Vernon, IN
  • NPI 1518987866

  IN

  Medicare reassignment NPD Authorized official
• Joseph Koenigsmark, D.O.,M.B.A.

  • Addiction Medicine (Family Medicine) Physician
  • Shepherdsville, KY
  • NPI 1437214731

  IN, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1144666397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651818",
            "telephone_number": "812-346-1757",
            "fax_number": "812-346-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651818",
            "telephone_number": "812-346-1757",
            "fax_number": "812-346-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-346-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201164170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC
• Barthel Landon Hudson, PT
• Melissa Reyes Hunter, M.S., ED.S.
• Indiana Emergency Physicians, LLP
• Indiana Physician Management-Jennings, LLC
• J Terry Frey DDS PC
• Jackson County Schneck Memorial Hospital
• Jenco Medical and Mobility Inc
• Jennings County Auditor
• Jennings County Chiropractic Clinic, P.C.

• All providers in North Vernon, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.