Integrative Wellness Partners, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATIVE WELLNESS PARTNERS, INC

Practice address

7 Berkshire Rd
Smithfield, NC 27577-4748

Phone

(919) 912-2400

Fax

(919) 912-1555

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Seung Won Kim, MD

Title

Medical Director

Phone

(919) 912-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627776000000",
    "number": "1851999882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774748",
            "telephone_number": "919-912-2400",
            "fax_number": "919-912-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 BYPASS US 701",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638378",
            "country_code": "US",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 E College St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NC",
            "postal_code": "283982104",
            "country_code": "US",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Tilghman Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344958",
            "country_code": "US",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5429 Wrightsville Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036513",
            "country_code": "US",
            "telephone_number": "910-792-1001",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4833 Carolina Beach Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122370",
            "country_code": "US",
            "telephone_number": "910-332-7900",
            "fax_number": "888-446-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-912-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; 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.