Oakland Park Integrated Medical Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OAKLAND PARK INTEGRATED MEDICAL CARE LLC

Doing business as

Oakland Park Integrated Medical Care, LLC

Practice address

410 NE 44TH St
Oakland Park, FL 33334-1423

Phone

(954) 561-4700

Fax

(954) 561-0812

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Kellerman, DCNPI 1194863100

Title

Owner

Phone

(954) 561-4700

Specialties & licenses 1

Addresses

Other names 1

• Oakland Park Integrated Medical Care, LLC Doing business as

Practitioners 1

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.

• Douglas Paul Kellerman, D.C.

  • Chiropractor
  • Oakland Park, FL
  • NPI 1194863100
  Authorized official Same address or phone

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1447886361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341423",
            "telephone_number": "954-561-4700",
            "fax_number": "954-561-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341423",
            "telephone_number": "954-561-4700",
            "fax_number": "954-561-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PARK INTEGRATED MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "KELLERMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-561-4700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Park Integrated Medical Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jude Nwabugwu
• Oakland Chiropractic Care
• Oakland Park Alf LLC
• Oakland Park Family Dental PA
• Oakland Park Family Medicine, LLC
• Oakland Park MRI Inc (dpi of ft lauderdale)
• Oakland Park Spinal Care, Inc
• Oakland Park Wellness Center
• Angela Obrochta, M.ED. CCC/SLP
• Huston Ochoa, LCSW

• Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.