Integrative & Family Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10D00967 Issued in DE

Legal business name

INTEGRATIVE & FAMILY HEALTHCARE LLC

Practice address

2055 Limestone Rd
Ste 117
Wilmington, DE 19808

Phone

(302) 999-8901

Fax

(302) 999-8962

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

David Stanley Jezyk, MD

Title

MD Owner

Phone

(302) 999-8901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David J Jezyk MD Doing business as

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1235162256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PARKER CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-995-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "STE 117",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-999-8901",
            "fax_number": "302-999-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE & FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "JEZYK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "302-999-8901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10D00967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000191701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J Jezyk MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.