Kim M Lucas MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22059 Issued in AZ

Legal business name

KIM M LUCAS MD PLLC

Doing business as

Integrated Associates in Medicine

Practice address

1968 E. Baseline Rd. Ste. F101
Tempe, AZ 85283

Phone

(480) 775-4110

Fax

(480) 413-1818

NPI assigned

Mar 23, 2006

Last updated

Mar 7, 2023By 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

Kim Myriam Lucas, M.D.

Title

Owner

Phone

(480) 775-4110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Integrated Associates in Medicine Doing business as

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780644914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 E. BASELINE RD. STE. F101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-775-4110",
            "fax_number": "480-413-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 E. BASELINE RD. STE. F101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-775-4110",
            "fax_number": "480-413-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM M LUCAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MYRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-775-4110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "22059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D0973410",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "22059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Associates in Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Kilian, M.D.
• Jeremy Killion
• Brianna Killourhy
• Staci P Kilpatrick, FNP
• Amber Kilwine, ND
• Ga-Young Kim
• Judith Joelle Kim, LPC
• Linda Kim, ND
• Mi Jeong Kim
• Myungran Kim

• Primary Care Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.