1. Home
  2. Directory
  3. Pennsylvania
  4. Fleetwood
  5. Nurse Practitioner
  6. NPI Profile

INTEGRATED MEDICAL GROUP, PC
NPI 1184076663
Nurse Practitioner - Family in Fleetwood, PA

Active since July 07, 2016CLIA 39D0205093 · Waiver
805 N RICHMOND ST, FLEETWOOD, PA 19522(610) 944-0464 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Integrated Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED MEDICAL GROUP, PC (NPI 1184076663) is a healthcare organization registered as a family in Fleetwood, Pennsylvania and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barbara J Mcculley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184076663
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED MEDICAL GROUP, PC
Location Address805 N RICHMOND STFleetwood, PA 19522-1058
Mailing Address4 Ravens CtReading, PA 19606-3551
Phone(610) 944-0464
Organization SubpartNo
Authorized OfficialBarbara J McculleyOffice Manager · (610) 944-0464
Enumeration DateJuly 7, 2016
✔ NPI 1184076663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016169
805 N RICHMOND ST, Fleetwood, PA 19522
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0205093

Integrated Medical Group PC · Reading, PA
Active · expires Aug 31, 2026
CLIA Number39D0205093
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLeif E. Christiansen Do
Laboratory Phone(610) 370-2511
Laboratory LocationIntegrated Medical Group PC2234 Perkiomen Ave, Reading, PA 19606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SELLERS MD
Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522
Berks County (610) 944-0464
DR. RICHARD WILLIAM REDDY D.D.S.
Dentist (General Practice)
805 N RICHMOND ST, SUITE 102
FLEETWOOD, PA 19522
Berks County (610) 944-9771
MISS RACHEL MARIE AMADIO ATC, PTA
Specialist/Technologist (Athletic Trainer)
805 N RICHMOND ST
FLEETWOOD, PA 19522
Berks County (610) 944-7626
LYNN GORDOS CRPN
Family Medicine
805 N RICHMOND ST
FLEETWOOD, PA 19522
Berks County (610) 944-0464
IMG PT
Physical Therapist
805 N RICHMOND ST, SUITE 103
FLEETWOOD, PA 19522
Berks County (610) 944-0464
MICHELLE LEE DMD
Dentist
805 N RICHMOND ST, SUITE 102
FLEETWOOD, PA 19522
Berks County (610) 944-9771
CHRISTOPHER SCOTT GORDOS DPT
Physical Therapist
805 N RICHMOND ST, SUITE 103
FLEETWOOD, PA 19522
Berks County (610) 944-8140
JESSICA MOMOSE CRNP
Nurse Practitioner (Family)
805 N RICHMOND ST
FLEETWOOD, PA 19522
Berks County (610) 944-0464

Frequently Asked Questions

What is INTEGRATED MEDICAL GROUP, PC's NPI number?

The NPI number assigned to this healthcare provider is 1184076663, enumerated as an "organization" on July 07, 2016.

Where is the provider located?

The provider is located at 805 N RICHMOND ST FLEETWOOD, PA 19522 and the phone number is (610) 944-0464.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.