Integ Health System, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

50003177A Issued in IN

Legal business name

INTEG HEALTH SYSTEM, P.C.

Practice address

1011 W 2ND St
Bloomington, IN 47403-2216

Phone

(812) 334-1213

Fax

(812) 333-5039

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Rex Daniel Grossman, M.D.NPI 1306828322

Title

President, Secretary, & Treasurer

Phone

(812) 334-1213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Eye Center of Southern Indiana Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Integ Health System, P.C.

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IN
  • NPI 1013999580

  8921035676

  Same PAC ID

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

CLIA laboratory certificates

Practitioners 9

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

• Warren Jeffrey Chang, M.D.

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1902888662
  Medicare reassignment Care Compare group NPD
• Jason P. Gray, O.D.

  • Optometrist
  • Bloomington, IN
  • NPI 1730387283
  Medicare reassignment Care Compare group NPD
• Rex Daniel Grossman, M.D.

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1306828322
  Medicare reassignment NPD Authorized official
• Steven Eugene Holbrook, O.D.

  • Optometrist
  • Bloomington, IN
  • NPI 1285616276
  Medicare reassignment Care Compare group NPD
• Andrew Henderson Huck, MD, MS

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1346770005
  Medicare reassignment Care Compare group NPD
• Charles Edward Huck, O.D.

  • Optometrist
  • Bloomington, IN
  • NPI 1346222320
  Medicare reassignment Care Compare group NPD
• Joseph Michael Mackey, M.D.

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1114124575
  Medicare reassignment Care Compare group NPD
• Mary Elise Marte, OD

  • Optometrist
  • Bloomington, IN
  • NPI 1518583384
  Medicare reassignment Care Compare group NPD
• Frank N. Hrisomalos, MD

  • Retina Specialist (Ophthalmology) Physician
  • Indianapolis, IN
  • NPI 1003106824
  Medicare reassignment NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1215919105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEG HEALTH SYSTEM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY, & TREASURER",
        "authorized_official_telephone_number": "812-334-1213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "50003177A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Center of Southern Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacia Innamorati, NP-APRN
• Inner Resources Counseling
• Inner Revolution LLC
• Insights Optical, Inc.
• Integ Health System, P.C.
• Irish Home Care, Inc.
• Dreyton Irvin
• Irving Radiology, Inc
• Zoe Isaac-Allen
• Julissa Isais

• Ophthalmology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.