Organization Active NPI

Injury Medical Group, Inc

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1548549009
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INJURY MEDICAL GROUP, INC
Doing business as
Acute Injury Specialists
Practice address
1020 Mann St
Kissimmee, FL 34741-4121
Phone
(407) 279-5157
Fax
(407) 279-5158
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Carla 1 Jones
Title
Office Manager
Phone
(407) 279-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1020 Mann St
Kissimmee, FL 34741-4121

Mailing address

1020 Mann St
Kissimmee, FL 34741-4121
Phone (407) 279-5157

Other names 1

  • Acute Injury Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1020 Mann St
Kissimmee, FL 34741
Phone (407) 279-5157

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1548549009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-279-5157",
            "fax_number": "407-279-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-279-5157",
            "fax_number": "407-279-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "1",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-279-5157"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acute Injury Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

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

Verify at the official NPI Registry.