Active NPI
Advanced Integrative Medicine
- Medical Physician Assistant
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1285
- Legal business name
- ADVANCED INTEGRATIVE MEDICINE
- Practice address
- 10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599 - Phone
- (303) 708-0246
- NPI assigned
- Apr 2, 2014
- Last updated
- Apr 2, 2014
- 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
- Randall Snook, M.D.
- Title
- Ceo/Medical Director
- Phone
- (303) 708-0246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1285 | CO | Primary |
Addresses
Primary practice location
10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599
Mailing address
10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599
Phone (303) 708-0246
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Integrative Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Lone Tree, CO
- NPI 1265603104
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Lone Tree, CO
- NPI 1558417659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396396800000",
"number": "1457779886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10455 PARK MEADOWS DR",
"address_2": "STE 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245599",
"telephone_number": "303-708-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 PARK MEADOWS DR",
"address_2": "STE 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245599",
"telephone_number": "303-708-0246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A",
"authorized_official_last_name": "SNOOK",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "303-708-0246",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "1285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
- Action Behavior Centers, LLC
- Reagan Dzierwa Adair, DO
- Nicole Bleakley Adams, NP
- Adapthealth West, LLC (AdaptHealth)
- Adient Health, Inc (Adient Sport and Spine Physical Therapy)
- Advanced Integrative Medicine PC
- Advanced Integrative Medicine, PC
- Advanced Mental Health Counseling Services
- Advanced Neurology of Colorado, LLC
- Advanced Surgery Colorado PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.