Active NPI
Integrated Medical, Inc
- Durable Medical Equipment & Medical Supplies
- Kent, OH
National Provider Identifier
1366533010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- HMER 22008
- Legal business name
- INTEGRATED MEDICAL, INC
- Practice address
- 1335 W Main St
Kent, OH 44240-1939 - Phone
- (330) 673-9815
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Sylvester
- Title
- General Manager
- Phone
- (216) 823-0091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | HMER 22008 | OH | Primary |
Addresses
Primary practice location
1335 W Main St
Kent, OH 44240-1939
Mailing address
15627 Neo Pkwy
Cleveland, OH 44128-3150
Phone (216) 823-0091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2478555 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1366533010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15627 NEO PKWY",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441283150",
"telephone_number": "216-823-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 W MAIN ST",
"city": "KENT",
"state": "OH",
"postal_code": "442401939",
"telephone_number": "330-673-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "SYLVESTER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "216-823-0091"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "HMER 22008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2478555",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.