Integrated Diabetes Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INTEGRATED DIABETES SERVICES LLC

Practice address

333 E Lancaster Ave
Suite 204
Wynnewood, PA 19096-1929

Phone

(610) 642-6055

Fax

(610) 642-8046

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By 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. Gary Scheiner, MS, CDE

Title

Owner/Clinical Director

Phone

(610) 642-6055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1700115847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E LANCASTER AVE",
            "address_2": "SUITE 204",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961929",
            "telephone_number": "610-642-6055",
            "fax_number": "610-642-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E LANCASTER AVE",
            "address_2": "SUITE 204",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961929",
            "telephone_number": "610-642-6055",
            "fax_number": "610-642-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DIABETES SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-642-6055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CDE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Igidbashian, CRNP
• Shotaro Imaizumi, M.D.
• Elif E Ince, MD
• Mark J Ingerman, M.D.
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• Ali Iqbal, MD
• Isadore P Forman DPM LTD
• Alice May Isidro, PA-C
• Filip Istvanic, MD

• Health Service Clinic/Center in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.