Organization Active NPI

RS Medical Group

Doing business as Elmore Medical Associates

  • Family Medicine Physician
  • Elmore, OH
National Provider Identifier
1124220579
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RS MEDICAL GROUP
Doing business as
Elmore Medical Associates
Practice address
3105 South State Route 51
Elmore, OH 43416-0067
Phone
(419) 862-2916
Fax
(419) 862-1701
NPI assigned
Jun 5, 2007
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Krishna M. Ragothaman, M.D.
Title
President
Phone
(419) 862-2916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35037046 OH
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3105 South State Route 51
Elmore, OH 43416-0067

Mailing address

PO Box 67
Elmore, OH 43416-0067
Phone (419) 862-2916

Other identifiers 4

IdentifierTypeStateIssuer
0290288MedicaidOH
0152338MedicaidOH
0181646MedicaidOH
7351404MedicaidOH

Other names 1

  • Elmore Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RS Medical Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1124220579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "ELMORE",
            "state": "OH",
            "postal_code": "434160067",
            "telephone_number": "419-862-2916",
            "fax_number": "419-862-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 SOUTH STATE ROUTE 51",
            "city": "ELMORE",
            "state": "OH",
            "postal_code": "434160067",
            "telephone_number": "419-862-2916",
            "fax_number": "419-862-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "RAGOTHAMAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-862-2916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35037046",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290288",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152338",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181646",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7351404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmore Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.