Active NPI
Michael'S Integrated Medical Group PLLC
- Physical Medicine & Rehabilitation Physician
- Pahrump, NV
National Provider Identifier
1982259040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.