SOUTHEASTERN INTEGRATED MEDICAL PL – NPI #1871573949
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

SOUTHEASTERN INTEGRATED MEDICAL PL is a provider located in GAINESVILLE, FL. NPPES has assigned the NPI number 1871573949 to SOUTHEASTERN INTEGRATED MEDICAL PL on January 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 11 years ago on Mar 09, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN INTEGRATED MEDICAL PL below.

NPI Profile for
SOUTHEASTERN INTEGRATED MEDICAL PL

NPI Number
1871573949
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN INTEGRATED MEDICAL PL
Primary location
4343 W NEWBERRY RD
GAINESVILLE, FL 32607-2817
Phone: (352) 224-2200 Fax: (352) 224-2484
Mailing address
4881 NW 8TH AVE
SUITE 2
GAINESVILLE, FL 32605-4582
Phone: (352) 547-2373 Fax: (352) 416-1813
Organization Subpart
Yes - SOUTHEASTERN INTEGRATED MEDICAL PL is subpart of another organization.
Authorized Official
DANIEL DUNCANSON
CHEIF EXECUTIVE OFFICER
Phone: (352) 224-2200
Updated
Identifiers

Identifiers for SOUTHEASTERN INTEGRATED MEDICAL PL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL058586600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.