NPIMap

Organization Active NPI

Integrated Surgical Inc

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1780020156
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATED SURGICAL INC
Practice address
5222 Lenox Ave
Jacksonville, FL 32205-4838
Phone
(904) 783-0864
Fax
(904) 783-0508
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Adriana McClerren
Title
Owner
Phone
(904) 783-0864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5222 Lenox Ave
Jacksonville, FL 32205-4838

Mailing address

5222 Lenox Ave
Jacksonville, FL 32205-4838
Phone (904) 783-0864

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1780020156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 LENOX AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054838",
            "telephone_number": "904-783-0864",
            "fax_number": "904-783-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 LENOX AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054838",
            "telephone_number": "904-783-0864",
            "fax_number": "904-783-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MCCLERREN",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-783-0864"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.