{"npi":"1336102268","type":"NPI-2","status":"active","name":{"display":"Integrated Medical Group P C","other":[],"organization_name":"INTEGRATED MEDICAL GROUP P C","authorised_official":"Jennifer Boyer"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207KA0200X","description":"Allergy Physician","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"82 TUNNEL RD","city":"POTTSVILLE","state":"PA","postal_code":"179013869","country_code":"US","phone":"5706225455","fax":"5706225493"},{"purpose":"MAILING","street_1":"82 TUNNEL RD","city":"POTTSVILLE","state":"PA","postal_code":"179013869","country_code":"US","phone":"5706225455","fax":"5706225493"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100775174","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031211000232","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"1355247180"}]},"enumeration_date":"2006-04-11","last_updated":"2016-02-10","_meta":{"source":"NPPES","snapshot_date":"2016-02-10","doc_url":"https://findmynpi.com/api"}}