Innovative Family Medicine, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNOVATIVE FAMILY MEDICINE, LLC.

Practice address

6425 Post Rd Ste 102
Dublin, OH 43016-1347

Phone

(614) 813-0883

Fax

(614) 813-7173

NPI assigned

Oct 19, 2018

Last updated

Oct 19, 2018By 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

Dr. Marvin S. Im, DONPI 1154436665

Title

Owner

Phone

(614) 517-9637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Marvin Im, D.O.

  • Family Medicine Physician
  • Dublin, OH
  • NPI 1154436665
  Medicare reassignment Authorized official
• Steven Barrientos, DO

  • Sports Medicine (Family Medicine) Physician
  • Dublin, OH
  • NPI 1164959276
  NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1548736374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 POST RD STE 102",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161347",
            "telephone_number": "614-813-0883",
            "fax_number": "614-813-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 POST RD STE 102",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430161347",
            "telephone_number": "614-813-0883",
            "fax_number": "614-813-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FAMILY MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-517-9637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Marie Ingalls, D.C.
• Stacy Kay Ingraham, MSED., LPCC-S
• Inner Health Chiropractic of Dublin, LLC
• Inner Health Chiropractic, Inc
• Inner Quest Counseling
• Innovative Senior Care Home Health of Ohio LLC (Brookdale Home Health Columbus)
• Letisha Inskeep
• Julia Madeline Insler
• Institutional Pharmacy Solutions, Inc.
• Integrated Pain Solutions Incorporated

• Family Medicine Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.