NPIMap

Organization Active NPI

Integrative Pediatrics, PC

  • Pediatrics Physician
  • Ann Arbor, MI
National Provider Identifier
1235318304
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301063144 Issued in MI
Legal business name
INTEGRATIVE PEDIATRICS, PC
Practice address
1310 S Main St
2ND Floor
Ann Arbor, MI 48104-3725
Phone
(734) 786-3833
Fax
(734) 994-8622
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Richard Lewis Linsk, MD
Title
Physician/Owner
Phone
(734) 786-3833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301063144 MI Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 5101016620 MI

Addresses

Primary practice location

1310 S Main St
2ND Floor
Ann Arbor, MI 48104-3725

Mailing address

1310 S Main St
2ND Floor
Ann Arbor, MI 48104-3725
Phone (734) 786-3833

Other identifiers 1

IdentifierTypeStateIssuer
1356355580MedicaidMI

Other names 1

  • Richard L Linsk, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1235318304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043725",
            "telephone_number": "734-786-3833",
            "fax_number": "734-994-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043725",
            "telephone_number": "734-786-3833",
            "fax_number": "734-994-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "LINSK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "734-786-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301063144",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101016620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356355580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard L Linsk, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.