Organization Active NPI

Integrated Group Practice LLC

  • Urology Physician
  • Columbus, OH
National Provider Identifier
1255633731
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
INTEGRATED GROUP PRACTICE LLC
Practice address
5131 Beacon Hill Rd
Suite 220
Columbus, OH 43228-4442
Phone
(614) 298-8150
Fax
(614) 299-2827
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Mr. David R Hafler
Title
Chief Administrative Officer
Phone
(614) 298-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

5131 Beacon Hill Rd
Suite 220
Columbus, OH 43228-4442

Mailing address

5131 Beacon Hill Rd
Suite 220
Columbus, OH 43228-4442
Phone (614) 298-8150

Other names 1

  • Urology Specialists of America, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

100 W 3rd Ave
Ste 300R
Columbus, OH 43201
Phone (614) 298-8150

5131 Beacon Hill Rd
Ste 220
Columbus, OH 43228
Phone (614) 241-6103

2100 Marble Cliff Office Park
#A
Columbus, OH 43215
Phone (877) 767-5024

100 W 3rd Ave
Ste 300
Columbus, OH 43201

5969 E Broad St
Ste 301
Columbus, OH 43213
Phone (614) 864-0670

1500 E Main St
Ste D
Lancaster, OH 43130
Phone (740) 653-3441

1230 Columbus Ave
Washington Court House, OH 43160
Phone (937) 382-1141

222 Willow Valley Lakes Dr
Ste 100
Willow Street, PA 17584
Phone (717) 291-5931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1255633731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 BEACON HILL RD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284442",
            "telephone_number": "614-298-8150",
            "fax_number": "614-299-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 BEACON HILL RD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284442",
            "telephone_number": "614-298-8150",
            "fax_number": "614-299-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "HAFLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "614-298-8150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Specialists of America, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 2011; 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.