Organization Active NPI

Integrated Medical, PA

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1982079398
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-7482 Issued in AR
Legal business name
INTEGRATED MEDICAL, PA
Practice address
593 S Horsebarn Rd
Suite 101
Rogers, AR 72758-8795
Phone
(479) 271-9191
Fax
(479) 271-9196
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Carlos Suarez
Title
Medical Director
Phone
(479) 271-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-7482 AR Primary

Addresses

Primary practice location

593 S Horsebarn Rd
Suite 101
Rogers, AR 72758-8795

Mailing address

593 S Horsebarn Rd
Suite 101
Rogers, AR 72758-8795
Phone (479) 271-9191

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
04D2117659Integrated Medical593 Horsebarn Rd Suite 101, Rogers, AR 72758Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1982079398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 S HORSEBARN RD",
            "address_2": "SUITE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 S HORSEBARN RD",
            "address_2": "SUITE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-271-9191",
            "fax_number": "479-271-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "479-271-9191"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.