Integratedem1 LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

INTEGRATEDEM1 LLC

Practice address

1500 SW 1St Ave
Ocala, FL 34471-6504

Phone

(325) 351-7200

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Matthew Jackson

Title

Authorized Member

Phone

(813) 746-3993

Specialties & licenses 1

Addresses

Practitioners 3

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

• Carroll Brown, PAC

  • Physician Assistant
  • Ocala, FL
  • NPI 1750303210
  NPD
• Barbara Murphree, PAC

  • Physician Assistant
  • Citra, FL
  • NPI 1447278197
  NPD
• Kelly Lee Tingler, P.A.

  • Medical Physician Assistant
  • Ocala, FL
  • NPI 1992939912
  NPD

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1255834362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671457",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716504",
            "telephone_number": "325-351-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATEDEM1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "813-746-3993"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.