# INTEGRATED MEDICAL GROUP, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598256380
- **Authorized official:** CRAIG HUNT (CEO)
- **Authorized official phone:** (570) 622-5455

## Contact information

- **Practice address:** 517 SOUTH ST, LYKENS, PA 17048-1520
- **Practice address phone:** (570) 624-4777
- **Mailing address:** 82 TUNNEL RD, POTTSVILLE, PA 17901-3869
- **Mailing address phone:** (570) 622-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007751740061 | — | PA |