Internal Medicine Consultants PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

INTERNAL MEDICINE CONSULTANTS PC

Practice address

407 S 19TH St
Blair, NE 68008-1907

Phone

(402) 426-2210

Fax

(402) 426-2235

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susie M Leonard, CMA

Title

Billing Office

Phone

(402) 426-2210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1578624433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 19TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081907",
            "telephone_number": "402-426-2210",
            "fax_number": "402-426-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 19TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081907",
            "telephone_number": "402-426-2210",
            "fax_number": "402-426-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "402-426-2210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025285200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.