Organization Active NPI

Michael'S Integrated Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Pahrump, NV
National Provider Identifier
1982259040
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MICHAEL'S INTEGRATED MEDICAL GROUP PLLC
Practice address
2780 Homestead Rd Ste 104
Pahrump, NV 89048-5464
Phone
(775) 727-7959
Fax
(775) 727-7960
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Michael A Jonak, MD
Title
Medical Director/Owner
Phone
(775) 727-7959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2780 Homestead Rd Ste 104
Pahrump, NV 89048-5464

Mailing address

2780 Homestead Rd Ste 105
Pahrump, NV 89048-5464
Phone (775) 727-7959

Other names 1

  • Pahrump Spine and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2780 Homestead Rd
Ste 105
Pahrump, NV 89048
Phone (775) 727-7959

2780 Homestead Rd
Ste 104
Pahrump, NV 89048
Phone (775) 727-7959

2100 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-7535

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1982259040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 HOMESTEAD RD STE 105",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485464",
            "telephone_number": "775-727-7959",
            "fax_number": "775-727-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 HOMESTEAD RD STE 104",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485464",
            "telephone_number": "775-727-7959",
            "fax_number": "775-727-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL'S INTEGRATED MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "JONAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "775-727-7959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pahrump Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pahrump Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.