NPIMap

Organization Active NPI

Integrative Medical Centers of Ohio Inc

  • Orthopedic Chiropractor
  • Cortland, OH
National Provider Identifier
1821289372
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
812 Issued in OH
Legal business name
INTEGRATIVE MEDICAL CENTERS OF OHIO INC
Practice address
148 W Main Street
Cortland, OH 44410-1432
Phone
(330) 638-7310
Fax
(330) 638-7257
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Thomas Paul Montgomery, DCNPI 1275517500
Title
Director
Phone
(330) 638-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 812 OH Primary

Addresses

Primary practice location

148 W Main Street
Cortland, OH 44410-1432

Mailing address

148 W Main Street
Cortland, OH 44410-1432
Phone (330) 638-7310

Other identifiers 1

IdentifierTypeStateIssuer
2366032MedicaidOH

National Provider Directory

National Provider Directory

Locations

148 W Main St
Cortland, OH 44410
Phone (330) 271-0461

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1821289372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W MAIN STREET",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101432",
            "telephone_number": "330-638-7310",
            "fax_number": "330-638-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W MAIN STREET",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101432",
            "telephone_number": "330-638-7310",
            "fax_number": "330-638-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CENTERS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-638-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.