Integrated Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NV20121441185 Issued in NV

Legal business name

INTEGRATED MEDICAL GROUP INC

Practice address

3230 S Buffalo Dr Ste 105
Las Vegas, NV 89117-2506

Phone

(702) 985-2533

Fax

(702) 253-7288

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Maria Lourdes Yuvienco Pecho, MS ECO

Title

President

Phone

(702) 985-2533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1205182292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-985-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-985-2533",
            "fax_number": "702-253-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "PECHO",
        "authorized_official_first_name": "MARIA LOURDES",
        "authorized_official_middle_name": "YUVIENCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-985-2533",
        "authorized_official_credential": "MS ECO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": "NV20121441185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Healthcare of Nevada
• Integrated Life Management Services
• Integrated Medical Care Inc
• Integrated Medical Clinic LLC
• Integrated Medical Group Eastern Region Inc
• Integrated Pain Relief, LLC
• Integrated Psychological LLC
• Integrated Psychological Services LLC
• Integrated Psychological Solutions LLC
• Integrated Solutions for Wellness

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.