NPIMap

Organization Active NPI

Integral Medicine PLLC

  • Family Medicine Physician
  • Issaquah, WA
National Provider Identifier
1316355183
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25099 Issued in WA
Legal business name
INTEGRAL MEDICINE PLLC
Practice address
120 1St Ave NW
Issaquah, WA 98027-3228
Phone
(425) 557-7706
Fax
(425) 557-0595
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. Steven M Hall, MDNPI 1831262260
Title
Principle Partner
Phone
(425) 557-7706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25099 WA Primary

Addresses

Primary practice location

120 1St Ave NW
Issaquah, WA 98027-3228

Mailing address

120 1St Ave NW
Issaquah, WA 98027-3228
Phone (425) 557-7706

National Provider Directory

National Provider Directory

Locations

120 1st Ave NW
Issaquah, WA 98027
Phone (425) 557-7706

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1316355183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273228",
            "telephone_number": "425-557-7706",
            "fax_number": "425-557-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273228",
            "telephone_number": "425-557-7706",
            "fax_number": "425-557-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPLE PARTNER",
        "authorized_official_telephone_number": "425-557-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "25099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

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.