Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Medical Group P C

Organization Surgery Physician · NPI 1417911819

Integrated Medical Group P C is a Surgery Physician in Pottsville, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

48 Tunnel Rd Ste 203
Pottsville, PA 17901-3875
Phone: (570) 622-5455
Fax: (570) 622-5493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1417911819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Burns — Hr · (570) 622-5455
NPI enumeratedApril 13, 2006
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address82 Tunnel Rd, Pottsville, PA 17901-3869

Other providers in Pottsville