Active NPI
Integrative Consulting LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Medford, OR
National Provider Identifier
1689041899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- INTEGRATIVE CONSULTING LLC
- Practice address
- 730 Biddle Rd Ste a
Medford, OR 97504-6116 - Phone
- (541) 708-1595
- Fax
- (541) 833-5008
- NPI assigned
- Aug 24, 2015
- Organization subpart
- Yes
- Parent organization
- INTEGRATIVE CONSULTING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Ryan Graner, LAC
- Title
- Director
- Phone
- (541) 708-1595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Acupuncturist | 171100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
730 Biddle Rd Ste a
Medford, OR 97504-6116
Mailing address
PO Box 1003
Ashland, OR 97520-0034
Phone (775) 250-8110
Other names 1
- Siskiyou Pain Consultants
National Provider Directory
National Provider Directory- Part of
- Integrative Consulting LLC
Locations
730 Biddle Rd
Ste A
Medford, OR 97504
Phone (541) 708-1595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Medford, OR
- NPI 1932470424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580947200000",
"number": "1689041899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975200034",
"telephone_number": "775-250-8110",
"fax_number": "541-482-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 BIDDLE RD STE A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046116",
"telephone_number": "541-708-1595",
"fax_number": "541-833-5008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE CONSULTING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATIVE CONSULTING LLC",
"enumeration_date": "2015-08-24",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A",
"authorized_official_last_name": "GRANER",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "541-708-1595",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Siskiyou Pain Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.