The Center for Internal & Integrative Medicine, PA

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

License

71068 Issued in GA

Legal business name

THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA

Practice address

401 S Main St Ste B3
Alpharetta, GA 30009-1958

Phone

(404) 836-9906

Fax

(470) 545-4768

NPI assigned

Feb 25, 2016

Last updated

Feb 25, 2016By 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. Eduard Fatakhov, M.D.NPI 1295099018

Title

Founder/Ceo

Phone

(770) 256-7069

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Eduard Fatakhov, M.D.

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1295099018
  NPD (past) Authorized official
• Irina Bukshteyn, FNP-C

  • Family Nurse Practitioner
  • Alpharetta, GA
  • NPI 1376972539
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1801256326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE B3",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091958",
            "telephone_number": "404-836-9906",
            "fax_number": "470-545-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE B3",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091958",
            "telephone_number": "404-836-9906",
            "fax_number": "470-545-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "FATAKHOV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "770-256-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "GA",
            "license": "71068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1295099018",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1710241658",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Voyles Tester, CNM
• Jessica Villa Tew, DOCTOR OF CHIROPRACT
• Leanne Marie Tew, D.C.
• The Agape Counseling Center, LLC
• The Anderson Centers, Inc
• The Georgia Center for Total Cancer Care at Preston Ridge
• The Graivier Center
• The Hand and Upper Extremity Rehabilitation Center
• The Health and Wellness Centers of Alpharetta, LLC
• The Holistic Coalition, LLC

• Obesity Medicine (Internal Medicine) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Obesity Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.