INTEGRATED HEALTHCARE INNOVATION INC.


Address: 1313 N Tryon St, Charlotte, NC 28206-2721
Phone: 7046045677

INTEGRATED HEALTHCARE INNOVATION INC. (NPI# 1942703582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942703582
Entity Type Organization
Organization Name INTEGRATED HEALTHCARE INNOVATION INC.
Other Organization Name BLUE IVY MEDICAL & INFECTIOUS DISEASE CENTER
Practice Address 1313 N Tryon St
Charlotte
NC 28206-2721
Mailing Address 3921 Cameron Creek Dr
Matthews
NC 28105-6772
Practice Telephone 7046045677
Mailing Telephone 7046045677
Enumeration Date 2018-03-09
Last Update Date 2018-03-17
Authorized Official Name GRACE DAVID (CEO)
Authorized Official Telephone 7046045677
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
NC Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine NC Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Blue Ivy Medical & Infectious Disease Center Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 North Tryon Street, Charlotte, NC 282082820 7046045677

Office Location

Street Address 1313 N TRYON ST
City CHARLOTTE
State NC
Zip Code 28206-2721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457552614 Symmetry Behavioral Health Systems, LLC Case Management 1313 N Tryon St, Suite 2, Charlotte, NC 28206-2721 2007-05-29
1487276242 Echo Park Integrated Inc In Home Supportive Care 1313 N Tryon St, Charlotte, NC 28206-2721 2020-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861019150 Novant Medical Group, Inc. Family Medicine 2701 Statesville Ave., Charlotte, NC 28206 2020-07-02
1609433291 Life Interrupted Counseling Services Counselor 4045 N Tryon St Ste A, Charlotte, NC 28206 2019-05-20
1295141216 Taqiyah Camyah Barber Prosthetic/Orthotic Supplier 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 2014-07-10
1386976033 Olugboyega Remi Fisher Community Health Worker 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 2010-02-05
1821225699 Alzenia Kelly Morris Counselor 1801 N Tryon Street Ste 339, Charlotte, NC 28206 2009-06-18
1942479936 American Current Care of North Carolina PC Clinic/Center 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 2008-02-25
1992823629 Shari J Baum Preventive Medicine 2830 North I-85, Suite A and B, Charlotte, NC 28206 2007-03-27
1255479135 Tameka Denise Jenkins Counselor 1600 Norris Ave., Charlotte, NC 28206 2007-02-02
1871655803 Dwight Hollier Counselor 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 2006-12-15
1093213621 Mishelle L Lockerby Counselor 5108 Reagan Dr, Charlotte, NC 28206 2018-01-29
Find all providers in zip 28206

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932722980 Carolinas Physicians Network Inc Internal Medicine 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 2020-05-26
1538700745 Geriatric Care of The Carolinas, Pllc Internal Medicine 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 2019-09-30
1477100683 Carolinas Physicians Network Inc Internal Medicine 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 2019-08-22
1972169977 Iora Health North Carolina, P.C. Internal Medicine 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 2019-05-15
1700345105 Carolinas Physicians Network Inc Internal Medicine 2109 Randolph Rd, Charlotte, NC 28207-1521 2019-03-15
1790256964 Tele Phys Inc Internal Medicine 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 2018-12-16
1053880518 Low-t Physicians Professional Association Internal Medicine 10430 Park Road Suite 100a, Charlotte, NC 28210 2018-11-14
1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1588166060 Allcare Medical Center,pllc Internal Medicine 7401 The Plaza, Charlotte, NC 28215 2018-03-01
1083137616 Sc Med LLC Internal Medicine 10436 Winslet Dr, Charlotte, NC 28277-2956 2017-07-25
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Competitor

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City CHARLOTTE
Zip Code 28206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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