Integrative Medicine Center, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 819 Issued in FL

Legal business name

INTEGRATIVE MEDICINE CENTER, INC.

Practice address

13801 Bruce B Downs Blvd
Suite 206
Tampa, FL 33613-4658

Phone

(813) 977-2677

Fax

(813) 977-2877

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Yangchong OuNPI 1518039569

Title

President

Phone

(813) 977-2677

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Yangchong Ou

  • Acupuncturist
  • Tampa, FL
  • NPI 1518039569
  NPD (past) Authorized official
• Yan Gong, A.P.

  • Acupuncturist
  • Tampa, FL
  • NPI 1144392671
  NPD (past)
• Joseph A Sassano, D.O.

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1477545663
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1427123728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134658",
            "telephone_number": "813-977-2677",
            "fax_number": "813-977-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134658",
            "telephone_number": "813-977-2677",
            "fax_number": "813-977-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "YANGCHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-977-2677"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tampa, FL
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.