Active NPI
Integrative Medicine, LLC
- Internal Medicine Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Christopher Link, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2083992 | Integrative Medicine, LLC | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Jefferson City, MO
- NPI 1679514293
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.