Organization Active NPI

Practice Management Associates Norwalk LLC

Doing business as AMC of Norwalk

  • Addiction Medicine (Family Medicine) Physician
  • Norwalk, OH
National Provider Identifier
1912279399
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PRACTICE MANAGEMENT ASSOCIATES NORWALK LLC
Doing business as
AMC of Norwalk
Practice address
32 Executive Dr
Norwalk, OH 44857
Phone
(567) 245-4444
Fax
(567) 245-4441
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
John Hradek
Title
Manager
Phone
(567) 245-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

32 Executive Dr
Norwalk, OH 44857

Mailing address

32 Executive Dr
Norwalk, OH 44857
Phone (567) 245-4444

Other names 1

  • AMC of Norwalk Doing business as

National Provider Directory

National Provider Directory

Locations

32 Executive Dr
Norwalk, OH 44857
Phone (419) 663-8808

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1912279399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "44857",
            "telephone_number": "567-245-4444",
            "fax_number": "567-245-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "44857",
            "telephone_number": "567-245-4444",
            "fax_number": "567-245-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE MANAGEMENT ASSOCIATES NORWALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HRADEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "567-245-4444"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC of Norwalk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.