Integrative Natural Medicine

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5659 Issued in AZ

Legal business name

INTEGRATIVE NATURAL MEDICINE

Doing business as

The Meridian

Practice address

2025 E Campbell Ave
#259
Phoenix, AZ 85016-8501

Phone

(480) 521-2775

Fax

(480) 521-2775

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Michael Fucci, DNM, PA

Title

Ceo/Owner

Phone

(480) 521-2775

Specialties & licenses 1

Addresses

Other names 1

• The Meridian Doing business as

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1619407269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E CAMPBELL AVE",
            "address_2": "#259",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "480-521-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E CAMPBELL AVE",
            "address_2": "#259",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168501",
            "telephone_number": "480-521-2775",
            "fax_number": "480-521-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "FUCCI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-521-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNM, PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Integrit Labs, LLC

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.