Organization Active NPI

Im Medical, P.a.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1760646863
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IM MEDICAL, P.A.
Practice address
6080 Boynton Beach Blvd
Ste. 220
Boynton Beach, FL 33437-3588
Phone
(561) 364-4840
Fax
(561) 364-4068
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Isaac K Thompson, M.D.
Title
President
Phone
(561) 364-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

6080 Boynton Beach Blvd
Ste. 220
Boynton Beach, FL 33437-3588

Mailing address

6080 Boynton Beach Blvd
Ste. 220
Boynton Beach, FL 33437-3588
Phone (561) 364-4840

National Provider Directory

National Provider Directory

Locations

6080 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 364-4840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1760646863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD",
            "address_2": "STE. 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373588",
            "telephone_number": "561-364-4840",
            "fax_number": "561-364-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD",
            "address_2": "STE. 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373588",
            "telephone_number": "561-364-4840",
            "fax_number": "561-364-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-364-4840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.