Align Integrated Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALIGN INTEGRATED MEDICAL LLC

Practice address

750 W Ustick Rd Ste 100
Meridian, ID 83646

Phone

(208) 639-1397

NPI assigned

Jan 5, 2018

Last updated

Jul 7, 2020By 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

Chad WoolnerNPI 1700027547

Title

Ceo

Phone

(208) 639-1397

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 7

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.

• Chad Michael Woolner, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1700027547
  Medicare reassignment Authorized official
• Richard King, D.C.

  • Chiropractor
  • St George, UT
  • NPI 1548673981

  ID

  Medicare reassignment NPD
• Russell C Allen, DC

  • Chiropractor
  • Meridian, ID
  • NPI 1093730400
  Medicare reassignment
• Robyn R Develle, DC, NP-C

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1215954862
  Medicare reassignment
• Brian W Moss, M.D.

  • Emergency Medicine Physician
  • Caldwell, ID
  • NPI 1033384201
  Medicare reassignment
• Kelly Ann Hammerbeck, NP-C

  • Family Nurse Practitioner
  • Pikeville, NC
  • NPI 1255881983

  ID

  Medicare reassignment
• Shawn Stadlbauer, DC

  • Chiropractor
  • Meridian, ID
  • NPI 1447973250
  NPD

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1619484102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W USTICK RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466133",
            "telephone_number": "208-639-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W USTICK RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-639-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN INTEGRATED MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WOOLNER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-639-1397"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Alexander-Herrick
• Karen Alexander, M.A.
• Lisa Alford, RN
• Align Hospice LLC
• Jenna Alix
• All About Home Care
• All in Physical Therapy LLC
• All in Physical Therapy, LLC
• All Paths Counseling LLC

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.