INTEGRATED GROUP PRACTICE LLC (NPI# 1255633731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255633731 |
| Entity Type | Organization |
| Organization Name | INTEGRATED GROUP PRACTICE LLC |
| Other Organization Name | UROLOGY SPECIALISTS OF AMERICA, LLC |
| Practice Address |
5131 Beacon Hill Rd Suite 220 Columbus OH 43228-4442 |
| Practice Telephone | 6142988150 |
| Practice Fax Number | 6142992827 |
| Mailing Telephone | 6142988150 |
| Mailing Fax Number | 6142992827 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MR. DAVID R HAFLER (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 6142988150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology Specialists of America, LLC | Doing Business As Name - Organization |
| Street Address |
5131 BEACON HILL RD SUITE 220 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578975 | Adnan A. Khan | Internal Medicine | 5131 Beacon Hill Rd, Suite 120, Columbus, OH 43228-4442 | 2005-06-15 |
| 1184288706 | Hillary Christine Park | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Columbus, OH 43228-4442 | 2019-04-29 |
| 1457883217 | Jessica Ball | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 300, Columbus, OH 43228-4442 | 2017-03-31 |
| 1780125146 | Daniel Gaines | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 160, Columbus, OH 43228-4442 | 2017-03-17 |
| 1194266965 | Benjamin Umbel | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 160, Columbus, OH 43228-4442 | 2017-03-14 |
| 1487194114 | Sean Patrick Mcgowan | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 160, Columbus, OH 43228-4442 | 2017-02-28 |
| 1437699386 | Jonathan Grant Sefton | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 340, Columbus, OH 43228-4442 | 2017-02-26 |
| 1174062236 | Talon Jeff Anderson | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 340, Columbus, OH 43228-4442 | 2017-02-21 |
| 1063951481 | Morgan Alyse Hobgood | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 340, Columbus, OH 43228-4442 | 2017-02-17 |
| 1699214213 | Benjamin Benitez | Student in an Organized Health Care Education/Training Program | 5131 Beacon Hill Rd, Suite 340, Columbus, OH 43228-4442 | 2017-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| 1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
| 1942563069 | John Alex Brockman | Urology | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2012-06-22 |
| 1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
| 1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
| 1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
| 1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
| 1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
| 1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on INTEGRATED GROUP PRACTICE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.