Organization Active NPI

Integrated Family Medicine, Inc.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1003864323
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-0529 Issued in OH
Legal business name
INTEGRATED FAMILY MEDICINE, INC.
Practice address
4701 Olentangy River Rd
Suite 1
Columbus, OH 43214-1950
Phone
(614) 818-1477
Fax
(614) 642-0807
NPI assigned
May 5, 2006
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Winnie Moazampour, M.D.NPI 1427006923
Title
Owner
Phone
(614) 818-1477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35-08-0529 OH Primary

Addresses

Primary practice location

4701 Olentangy River Rd
Suite 1
Columbus, OH 43214-1950

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1003864323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLENTANGY RIVER RD",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141950",
            "telephone_number": "614-818-1477",
            "fax_number": "614-642-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "MOAZAMPOUR",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-818-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-0529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.