Integrated Medical, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101012617 Issued in MI

Legal business name

INTEGRATED MEDICAL, PC

Practice address

415 W Grand River Ave
Howell, MI 48843-2147

Phone

(517) 546-4000

Fax

(517) 545-5900

NPI assigned

Nov 16, 2011

Last updated

Feb 9, 2012By 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

Dr. Thomas Parker Floyd, D.O.

Title

President/ Sole Practitioner

Phone

(517) 546-4000

Specialties & licenses 1

Addresses

Other names 1

• Integrated Medical Other name

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1851668008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432147",
            "telephone_number": "517-546-4000",
            "fax_number": "517-545-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432147",
            "telephone_number": "517-546-4000",
            "fax_number": "517-545-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT/  SOLE PRACTITIONER",
        "authorized_official_telephone_number": "517-546-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101012617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.