Intercommunity Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERCOMMUNITY MEDICAL GROUP

Practice address

1525 Webster St
Ste a
Fairfield, CA 94533

Phone

(907) 423-2510

Fax

(907) 425-4236

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Belinda Lambert

Title

Credentialing Office Manager

Phone

(907) 423-2510

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71234

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710057781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST",
            "address_2": "STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "907-423-2510",
            "fax_number": "907-425-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST",
            "address_2": "STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "907-423-2510",
            "fax_number": "907-425-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOMMUNITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING OFFICE MANAGER",
        "authorized_official_telephone_number": "907-423-2510"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenelle Im
• Tami Imlay
• Leon Alan Ingram
• Jayne Mary Inman, NP-C
• Fatima Inocencio Martinez
• Nina Inyang
• Rashid Iqbal, MD
• Zandra Irucuta Gonzalez
• Joseph Irvin
• Tina Renee Isaac, CRNA, DNAP

• Internal Medicine Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.