Infinite Medical Group, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INFINITE MEDICAL GROUP, LLC

Practice address

2116 S Dupont Hwy Ste 3
Camden, DE 19934-1259

Phone

(302) 449-7484

Fax

(302) 327-4203

NPI assigned

Mar 14, 2021

Last updated

Mar 14, 2021By 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

Mr. Ronny Lee Upp

Title

President

Phone

(302) 644-8880

Specialties & licenses 1

Addresses

Other names 1

• Infinite Medical Group, LLC Other name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: rupp@thepmmgroup.com

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1699350371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20434 BEACHFIELD LN",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199633942",
            "telephone_number": "209-270-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S DUPONT HWY STE 3",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199341259",
            "telephone_number": "302-449-7484",
            "fax_number": "302-327-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "UPP",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-644-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rupp@thepmmgroup.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2116 S DuPont Hwy Ste 3",
            "city": "Camden",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199341259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Infinite Medical Group, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Infinite Medical Group, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Camden, DE
• Providers in Camden, DE by specialty
• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.