OCCUPATIONAL HEALTH CENTERS OF SOUTHWEST PA. (NPI# 1720111834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720111834 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF SOUTHWEST PA. |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
1619 N Stoughton Rd Madison WI 53704-2603 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 6082441213 |
| Practice Fax Number | 2147754502 |
| Mailing Telephone | 9727207772 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | DR. ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| 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 |
|---|---|
| Concentra Medical Center | Doing Business As Name - Organization |
| Street Address |
1619 N STOUGHTON RD |
| City | MADISON |
| State | WI |
| Zip Code | 53704-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811912488 | Maureen A Kidd | Surgery | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2006-07-13 |
| 1295334878 | Marquis Luis Sanabrais | Physical Medicine & Rehabilitation | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2020-10-23 |
| 1659922656 | Andrew Jend | Clinic/Center | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2019-09-23 |
| 1154702108 | Julianne Harari | Physical Therapist | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2015-06-16 |
| 1356461743 | James R. Todd | Physical Therapist | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1861512352 | James W. Hurley | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| 1023138419 | Michael J. Bortoli | Preventive Medicine | 1619 N Stoughton Rd, Madison, WI 53704-2603 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1225294945 | Concentra Health Services, Inc. | Clinic/Center | 1719 Gallatin Rd., Madison, TN 37115 | 2008-08-01 |
| 1477631588 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1719 Gallatin Pike N, Madison, TN 37115-2123 | 2006-11-02 |
| 1861001810 | Balance Chiropractic LLC | Clinic/Center | 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 | 2020-07-27 |
| 1225524515 | W. Daniel Zant,jr Md PC | Clinic/Center | 2002 S Main St, Madison, GA 30650-2054 | 2018-07-10 |
| 1619418753 | Holistic Healing LLC | Clinic/Center | 1444 Ellen Ave, Madison, WI 53716-1578 | 2017-03-08 |
| 1043609316 | Holistic Homebirth Madison, LLC | Clinic/Center | 52 Golf Course Rd, Madison, WI 53704-1423 | 2015-01-09 |
| 1255769550 | Hormone Health and Weight Loss | Clinic/Center | 3776 Sullivan St, Suite C, Madison, AL 35758-2371 | 2013-10-23 |
| 1972867141 | Madison Manual Medicine, Ltd. | Clinic/Center | 1709 Monroe St, Suite 2, Madison, WI 53711-2022 | 2012-07-02 |
| 1497907794 | Concentra Health Services, Inc. | Clinic/Center | 358 Junction Road, Madison, WI 53717-2612 | 2008-10-17 |
| Find all providers in MADISON | ||||
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| 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.