3d Integrated Medical, LLC
NPI 1508373358ActiveOrganization· Nurse Practitioner, Family· Tempe, AZ
Nurse Practitioner, Family in Tempe, Arizona, registered in NPPES in January 2018. The authorized official on file is Edward Traum, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508373358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2018 |
| Last updated in NPPES | Jan 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Chiropractor | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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