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INTEGRATED MEDICAL CLINIC
NPI 1487289005
Nurse Practitioner - Family in Lanham, MD

Active since March 04, 2020
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706(240) 758-1782 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2020, Sep 18, 2020, Jun 16, 2020 and 1 more (4 updates tracked since 2020).

About Integrated Medical Clinic NPPES

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

INTEGRATED MEDICAL CLINIC (NPI 1487289005) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since March 2020. The organization lists Paige Smith, Practice Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1487289005
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED MEDICAL CLINIC
Location Address7404 EXECUTIVE PL STE 100Lanham, MD 20706-6237
Mailing Address7404 Executive Pl Ste 100Lanham, MD 20706-6237 · (240) 260-3827 · Fax (240) 260-3830
Phone(240) 758-1782
Organization SubpartNo
Authorized OfficialPaige SmithPractice Adminstrator · (301) 509-4091
Enumeration DateMarch 4, 2020
Last NPPES UpdateDecember 28, 20204 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1487289005 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
7404 EXECUTIVE PL STE 100, Lanham, MD 20706
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

FLORENCE NGUH
Nurse Practitioner (Family)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 758-1782
MINDFUL MEDICAL SERVICES, LLC
Nurse Practitioner (Family)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (443) 379-4410
INTEGRATED MEDICAL CLINIC
Substance Abuse Rehabilitation Facility
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
MR. NICHOLAS E TINDONG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
INTEGRATED MEDICAL CLINIC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
GOLDSTAR FAMILY PRACTICE
Family Medicine
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (301) 792-3797
INTEGRATED MEDICAL CLINIC
Community/Behavioral Health
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
INTEGRATED MEDICAL CLINIC
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 758-1782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Medical Clinic's NPI number?

The NPI number for Integrated Medical Clinic is 1487289005. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Integrated Medical Clinic located?

Integrated Medical Clinic is located at 7404 Executive Pl Ste 100, Lanham, MD 20706. The listed phone number is (240) 758-1782.

What is Integrated Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Clinic was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.