Healthcare Provider Details

I. General information

NPI: 1184244915
Provider Name (Legal Business Name): UNITED MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HIDALGO 148-A SAN ANTONIO TLAYACAPAN
CHAPALA JALISCO
45922
MX

IV. Provider business mailing address

344 GROVE ST
JERSEY CITY NJ
07302-5923
US

V. Phone/Fax

Practice location:
  • Phone: 888-449-7799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. IAN FISCHMAN
Title or Position: MANAGER
Credential: MD
Phone: 888-449-7799