NPIMap

Organization Active NPI

Integrative Centers Science and Medicine

  • Obstetrics & Gynecology Physician
  • Martinsville, VA
National Provider Identifier
1235547134
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101241213 Issued in VA
Legal business name
INTEGRATIVE CENTERS SCIENCE AND MEDICINE
Practice address
315 Hospital Dr
Suite 206
Martinsville, VA 24112-1945
Phone
(276) 632-4276
Fax
(276) 632-6355
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Noel Boaz
Title
President
Phone
(276) 632-4276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 0101241213 VA Primary

Addresses

Primary practice location

315 Hospital Dr
Suite 206
Martinsville, VA 24112-1945

Mailing address

315 Hospital Dr
Suite 206
Martinsville, VA 24112-1945
Phone (276) 632-4276

National Provider Directory

National Provider Directory

Locations

315 Hospital Dr
Ste 206
Martinsville, VA 24112
Phone (276) 632-4276

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1235547134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 206",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-632-4276",
            "fax_number": "276-632-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 206",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-632-4276",
            "fax_number": "276-632-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CENTERS SCIENCE AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BOAZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-632-4276",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101241213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.