Aleksander Ivanovich Malakhov, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36698 Issued in TN

Practice address

Highway 411 South
Benton, TN 37307-0308

Phone

(423) 338-2831

Fax

(423) 338-2833

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ocoee Regional Health Corporation

  dba Grundy County Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Coalmont, TN
  • NPI 1902010770
  Medicare reassignment NPD
• Ocoee Regional Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Benton, TN
  • NPI 1386857381
  NPD
• Ocoee Regional Health Corporation

  dba Rhea County Middle School

  • Federally Qualified Health Center (FQHC)
  • Evensville, TN
  • NPI 1558931915
  NPD
• Nes Tennessee, Inc.

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1427039858
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780797035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 411 SOUTH",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070308",
            "telephone_number": "423-338-2831",
            "fax_number": "423-338-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 411 SOUTH",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070308",
            "telephone_number": "423-338-2831",
            "fax_number": "423-338-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAKHOV",
        "first_name": "ALEKSANDER",
        "middle_name": "IVANOVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "36698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela P Jones-Singleton, FNP-BC
• Joseph Matthew Gager
• Ked Consulting, LLC
• Andy Kim, DDS
• Victoria L Kinsey, DO
• Laurel Martin, NP
• Denise Renee McCluskey, FNP-C
• Priscilla Inez McKnight, RN
• Charlie Mitchell
• Tonya Morgan, FNP-BC

• Family Medicine Physician in Benton, TN
• Providers in Benton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.