| Integrated Medical Group Llc | |
|
210 Latchaw Dr Defiance OH 43512-4315 | |
| (419) 785-4215 | |
| (419) 785-4274 |
| Full Name | Integrated Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 210 Latchaw Dr, Defiance, Ohio |
| Authorized Official Name and Position | Megan Parks (OWNER/DOCTOR) |
| Authorized Official Contact | 4197854215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Group Llc 210 Latchaw Dr Defiance OH 43512-4315 Ph: (419) 785-4215 | Integrated Medical Group Llc 210 Latchaw Dr Defiance OH 43512-4315 Ph: (419) 785-4215 |
| NPI Number | 1912578550 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 9436547593 |
|---|---|
| Medicare Enrollment ID | O20211022001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912578550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Megan C. Parks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821254087 PECOS PAC ID: 7517022825 Enrollment ID: I20090220000423 |
| Provider Name | John H Kaufman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972842771 PECOS PAC ID: 9133366495 Enrollment ID: I20130506000535 |
| Provider Name | Kyle Zane Frederick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265885909 PECOS PAC ID: 2860787298 Enrollment ID: I20160824003012 |
| Provider Name | Cody Robinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114423647 PECOS PAC ID: 6002179843 Enrollment ID: I20180410000561 |
| Provider Name | Mercydes Leigh Prewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780254888 PECOS PAC ID: 0749667210 Enrollment ID: I20220523001447 |
| Provider Name | Elizabeth Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376288894 PECOS PAC ID: 9830577790 Enrollment ID: I20220606000229 |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25568 Elliott Rd, Defiance, OH 43512 Phone: 419-782-2147 Fax: 419-782-2157 | |
Defiance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Mercy Health Physicians - Defiance Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Second St, Defiance, OH 43512 Phone: 419-784-1414 | |
Defiance Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878 | |
Robert E Barnett Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Ralston Ave, Defiance, OH 43512 Phone: 419-782-3111 Fax: 419-782-3118 | |
Defiance Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878 |