Organization Active NPI

Integrative Medicine, LLC

  • Internal Medicine Physician
  • Jefferson City, MO
National Provider Identifier
1851871214
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRATIVE MEDICINE, LLC
Practice address
1002 Diamond RDG Ste 1200
Jefferson City, MO 65109-7911
Phone
(573) 632-5585
Fax
(844) 736-2971
NPI assigned
Aug 15, 2018
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mark Christopher Link, MDNPI 1679514293
Title
Owner
Phone
(573) 632-5585

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1002 Diamond RDG Ste 1200
Jefferson City, MO 65109-7911

Mailing address

999 Diamond RDG Ste 201
Jefferson City, MO 65109-6920
Phone (573) 632-5585

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2083992Integrative Medicine, LLC1002 Diamond Ridge, Ste 1200, Jefferson City, MO 65109Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

1002 Diamond Rdg
Ste 1200
Jefferson Cty, MO 65109
Phone (573) 632-5585

999 Diamond Rdg
Ste 201
Jefferson Cty, MO 65109
Phone (573) 632-5585

Practitioners & affiliated clinicians

Practitioners 1

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": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1851871214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 DIAMOND RDG STE 201",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096920",
            "telephone_number": "573-632-5585",
            "fax_number": "573-634-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG STE 1200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651097911",
            "telephone_number": "573-632-5585",
            "fax_number": "844-736-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-632-5585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.