Integrative Medicine Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTEGRATIVE MEDICINE GROUP

Practice address

8012 15TH Ave NW
Seattle, WA 98117-3601

Phone

(206) 708-1212

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Masahiro Takakura

Title

President

Phone

(206) 799-4178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1992573224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173601",
            "telephone_number": "206-708-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173601",
            "telephone_number": "206-708-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "TAKAKURA",
        "authorized_official_first_name": "MASAHIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-799-4178"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.