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INTEGRATED MEDICAL GROUP LLC
NPI 1912578550
General Practice in Defiance, OH

Active since July 06, 2021
210 LATCHAW DR, DEFIANCE, OH 43512(419) 785-4215(419) 785-4274 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2021, Jul 6, 2021 (2 updates tracked since 2021).

About Integrated Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED MEDICAL GROUP LLC (NPI 1912578550), doing business as Detray Chiropractic Center, is a healthcare organization registered as a general practice in Defiance, Ohio and active in the NPI registry since July 2021. The organization lists Megan Parks, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1912578550
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED MEDICAL GROUP LLC
Location Address210 LATCHAW DRDefiance, OH 43512-4315
Mailing Address210 Latchaw DrDefiance, OH 43512-4315 · (419) 785-4215 · Fax (419) 785-4274
Phone(419) 785-4215
Fax(419) 785-4274
Organization SubpartNo
Authorized OfficialMegan ParksOwner/doctor · (419) 785-4215
Enumeration DateJuly 6, 2021
Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1912578550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

210 LATCHAW DR, Defiance, OH 43512
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Other Names 1

Former Legal Business NameDetray Chiropractic Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY LEE ROBINSON DC
Chiropractor
210 LATCHAW DR
DEFIANCE, OH 43512
Defiance County (419) 785-4215
DR. MEGAN C PARKS D.C.
Chiropractor
210 LATCHAW DR
DEFIANCE, OH 43512
Defiance County (419) 789-9329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Medical Group LLC's NPI number?

The NPI number for Integrated Medical Group LLC is 1912578550. It was assigned to this organization in the NPPES registry on July 6, 2021. The provider was formerly known as Detray Chiropractic Center.

Where is Integrated Medical Group LLC located?

Integrated Medical Group LLC is located at 210 Latchaw Dr, Defiance, OH 43512. The listed phone number is (419) 785-4215.

What is Integrated Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Integrated Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrated Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Medical Group LLC was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.