NPIMap

Organization Active NPI

Georgetown Integrated Medicine PSC

  • Adult Medicine Physician
  • Georgetown, KY
National Provider Identifier
1346640208
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
36483 Issued in KY
Legal business name
GEORGETOWN INTEGRATED MEDICINE PSC
Practice address
108 Osbourne Way
Suite 6
Georgetown, KY 40324-8887
Phone
(502) 316-6533
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Becky Sizemore
Title
Administrator
Phone
(859) 559-0804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 36483 KY Primary

Addresses

Primary practice location

108 Osbourne Way
Suite 6
Georgetown, KY 40324-8887

Mailing address

7975 Solution Ctr
Chicago, IL 60677-7009
Phone (859) 559-0804

National Provider Directory

National Provider Directory

Locations

7975 Solution Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1346640208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606777009",
            "telephone_number": "859-559-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OSBOURNE WAY",
            "address_2": "SUITE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248887",
            "telephone_number": "502-316-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN INTEGRATED MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-559-0804"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "36483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.