Organization Active NPI

Ipm Institute, Inc.

Doing business as Innovative Spine Medical Group

  • Specialist
  • Bradenton, FL
National Provider Identifier
1669804613
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME59641 Issued in FL
Legal business name
IPM INSTITUTE, INC.
Doing business as
Innovative Spine Medical Group
Practice address
1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857
Phone
(941) 243-3887
Fax
(941) 243-3887
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Dr. Harold J Lawler III, MD
Title
Owner
Phone
(941) 251-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME59641 FL Primary

Addresses

Primary practice location

1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857

Mailing address

1215 Bayshore Gardens Pkwy
Bradenton, FL 34207-4857
Phone (941) 251-5930

Other names 1

  • Innovative Spine Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1215 Bayshore Gardens Pkwy
Bradenton, FL 34207
Phone (941) 243-3887

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1669804613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BAYSHORE GARDENS PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074857",
            "telephone_number": "941-251-5930",
            "fax_number": "941-251-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BAYSHORE GARDENS PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074857",
            "telephone_number": "941-243-3887",
            "fax_number": "941-243-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPM INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-251-5930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Spine Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.