Integrated Medical Group LLC
NPI 1912578550 · General Practice Physician · Defiance, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Medical Group LLC is a General Practice Physician organization in Defiance, OH (NPI 1912578550).
Provider details
- NPI number
- 1912578550
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Megan Parks, Owner/Doctor(419) 785-4215
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Detray Chiropractic Center
- Former legal business name
- Detray Chiropractic Center
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Integrated Medical Group LLC's NPI number?
- Integrated Medical Group LLC's National Provider Identifier (NPI) is 1912578550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Medical Group LLC?
- Integrated Medical Group LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Medical Group LLC located?
- Integrated Medical Group LLC's practice location on file with NPPES is 210 Latchaw Dr, Defiance, OH 43512-4315.
- What is Integrated Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Medical Group LLC is (419) 785-4215.
- Does Integrated Medical Group LLC accept Medicare?
- Integrated Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Integrated Medical Group LLC?
- The authorized official listed on Integrated Medical Group LLC's NPPES record is Megan Parks, Owner/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Medical Group LLC's NPI active?
- Yes — Integrated Medical Group LLC's NPI (1912578550) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.