Integrative MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

049183 Issued in CT

Legal business name

INTEGRATIVE MD LLC

Practice address

47 Oak St Ste 110
Stamford, CT 06905-5320

Phone

(203) 275-6666

Fax

(203) 900-0643

NPI assigned

Nov 15, 2016

Organization subpart

No

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

Authorized official

Name

Tatiana FleischmanNPI 1689995078

Title

President

Phone

(203) 275-6666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tatiana Fleischman, M.D.

  • Internal Medicine Physician
  • Stamford, CT
  • NPI 1689995078
  NPD (past) Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1396287751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SEASIDE AVE APT 12",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAK ST STE 110",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055320",
            "telephone_number": "203-275-6666",
            "fax_number": "203-900-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMAN",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-275-6666"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "049183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Headache and Brain Health
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• Integral Inc
• Integrated Health Administrative Services, Inc.
• Integrative Family Medicine of CT, PLLC
• Integrative Medical Health & Wellness
• Integrative Medical Health & Wellness PC
• Integrative Medical Solutions, PC
• Internal Medicine of Stamford PC
• Ip CT, LLC

• Multi-Specialty Clinic/Center in Stamford, CT
• Providers in Stamford, CT by specialty
• Multi-Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.