Practice Management Associates, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PRACTICE MANAGEMENT ASSOCIATES, LLC

Doing business as

AMC of Columbus

Practice address

6434 E Main St Ste 101
Reynoldsburg, OH 43068-7300

Phone

(614) 868-2669

Fax

(614) 868-2677

NPI assigned

Oct 27, 2011

Last updated

Aug 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roman Rakhamimov

Title

Owner

Phone

(614) 868-2669

Specialties & licenses 4

Addresses

Other names 1

• AMC of Columbus Doing business as

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1295011781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "614-868-2669",
            "fax_number": "614-868-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "614-868-2669",
            "fax_number": "614-868-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE MANAGEMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "RAKHAMIMOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-868-2669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC of Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction Medicine (Family Medicine) Physician in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.