Innovative Medicine P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

306-055 Issued in WI

Legal business name

INNOVATIVE MEDICINE P.C.

Practice address

318 Town Center Dr.
Troy, MI 48084

Phone

(248) 740-1265

Fax

(248) 740-1265

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda Struble Sourley, PHD

Title

President

Phone

(248) 740-1265

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rhonda Struble Sousley, PHD, MSOM

  • Acupuncturist
  • Troy, MI
  • NPI 1750693255
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1821234030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TOWN CENTER DR.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-740-1265",
            "fax_number": "248-740-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TOWN CENTER DR.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-740-1265",
            "fax_number": "248-740-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "SOURLEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "STRUBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-740-1265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "306-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athaliah Ingram
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• Inman Audiology PLLC
• Tiffany Inman, AU.D, CCC-A. F-AAA
• Inner Guidance Counseling Center, PLLC
• Innovative Rehabilitation Systems, Inc
• Insight Counseling Center of Troy, LLC
• Insight Counseling Center of Troy, LLC.
• Inspiring Solutions Psychological Services, PLLC (Nancy Losey, PhD)
• Instant Imaging LLC

• Acupuncturist in Troy, MI
• Providers in Troy, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.