OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., (NPI# 1104088277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104088277 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., |
| Other Organization Name | DBA, CONCENTRA MEDICAL CENTERS |
| Practice Address |
7764 Normandy Blvd Ste. 24 Jacksonville FL 32221-7652 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 9044821400 |
| Practice Fax Number | 9044821407 |
| Mailing Telephone | 8002323500 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. TOM FOGARTY (EVP, CMO) |
| Authorized Official Telephone | 8002323550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dba, Concentra Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053203 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2000 W Anderson Ln, Austin, TX 78757-1220 | 2018-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., INC. | 5080 Spectrum Dr, W Tower Ste 1200, Addison, TX 75001 |
| Connecticut Business Registrations | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., P.C. | 5080 Spectrum Drive, 1200 W. Tower, Addison, TX 75001 |
| Colorado Business Entities | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., P.C. + | 5080 Spectrum Dr, 1200 W Tower, Addison, TX 75001 |
| Street Address |
7764 NORMANDY BLVD STE. 24 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972636587 | Sadia Seemin Yahya | Family Medicine | 7764 Normandy Blvd, Ste.24, Jacksonville, FL 32221-7652 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231548 | American Current Care P.a. | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
| 1053879437 | Healthletix Management, LLC | Clinic/Center | 3948 Sunbeam Rd Ste 7, Jacksonville, FL 32257-8931 | 2019-03-05 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1730580366 | Inception Healthcare Solutions LLC | Clinic/Center | 14701 Bartram Park Blvd Unit 1118, Jacksonville, FL 32258-5296 | 2014-09-15 |
| 1407277171 | Csi-pediatric Services, Inc. | Clinic/Center | 10750 Atlantic Blvd, Suite 11, Jacksonville, FL 32225-2946 | 2013-12-26 |
| 1831454248 | Holy Trinity Community Medical Center | Clinic/Center | 4001 Confederate Point Rd, Suite # 2, Jacksonville, FL 32210-5459 | 2012-07-11 |
| 1194057836 | Usimc of West Virginia Medical Corp | Clinic/Center | 7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256-0517 | 2010-02-05 |
| 1437345014 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1584 Normandy Village Pkwy, Suite 32, Jacksonville, FL 32221-6800 | 2007-09-18 |
| 1508463845 | Concentra Medical Centers | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
| 1174143986 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-04-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
Please comment or provide details below to improve the information on OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.,.
| 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.