PRACTICE MANAGEMENT ASSOCIATES, LLC (NPI# 1295011781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295011781 |
| Entity Type | Organization |
| Organization Name | PRACTICE MANAGEMENT ASSOCIATES, LLC |
| Other Organization Name | AMC OF COLUMBUS |
| Practice Address |
6434 E Main St Ste 101 Reynoldsburg OH 43068-7300 |
| Practice Telephone | 6148682669 |
| Practice Fax Number | 6148682677 |
| Mailing Telephone | 6148682669 |
| Mailing Fax Number | 6148682677 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MR. ROMAN RAKHAMIMOV (OWNER) |
| Authorized Official Telephone | 6148682669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AMC of Columbus | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PRACTICE MANAGEMENT ASSOCIATES, LLC | 224 Ave F, Snohomish, WA 98290 |
| Street Address |
6434 E MAIN ST STE 101 |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407975790 | Judith L. Brown | Internal Medicine | 6434 E Main St Ste 101, Reynoldsburg, OH 43068-7300 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826453 | First Step Recovery Center | Family Medicine | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2015-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907051 | Douglas Moinuddin | Family Medicine | 28360 Center Ridge Rd Apt 229, Westlake, OH 44145-6797 | 2020-06-23 |
| 1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
| 1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
| 1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
| 1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
| 1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
Please comment or provide details below to improve the information on PRACTICE MANAGEMENT ASSOCIATES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.