Age Management & Internal Medicine Consultants Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-074815 Issued in OH

Legal business name

AGE MANAGEMENT & INTERNAL MEDICINE CONSULTANTS INC.

Practice address

1949 State Route 59
Suite 102
Kent, OH 44240-8124

Phone

(330) 673-0505

Fax

(330) 673-8708

NPI assigned

May 8, 2012

Last updated

May 8, 2012By 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

Dr. Victor Y Kopyev, MDNPI 1053390203

Title

Owner

Phone

(330) 686-2863

Specialties & licenses 1

Addresses

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.

• Victor Y Kopyev, M.D.

  • Internal Medicine Physician
  • Kent, OH
  • NPI 1053390203
  Authorized official Same address or phone

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1366701575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 ELIZABETH CT",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405018",
            "telephone_number": "330-673-0505",
            "fax_number": "330-673-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 STATE ROUTE 59",
            "address_2": "SUITE 102",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408124",
            "telephone_number": "330-673-0505",
            "fax_number": "330-673-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE MANAGEMENT & INTERNAL MEDICINE CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "KOPYEV",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-686-2863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-074815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Abbuhl
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• Anita Yvonne Adkins
• Brandi Adkins
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• Rahimah Ahmad, RN
• Amber Aiken, D.C.
• Julie J. Ainslie, LISW
• Aj Kent Care Center Opco LLC
• T. John Akamatsu, PH.D

• Internal Medicine Physician in Kent, OH
• Providers in Kent, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.