OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA (NPI# 1912039009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912039009 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
1959 S Val Vista Road Suite 106 Mesa AZ 85204 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001 |
| Practice Telephone | 4805451398 |
| Practice Fax Number | 4805451282 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | DR. WILLIAM TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648103 |
| Authorized Official Credential | M.D. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1982083275 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 11185 W 6th Ave, Lakewood, CO 80215-5538 | 2015-05-20 |
| 1083023626 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 337 21st Avenue North, Nashville, TN 37203 | 2014-08-07 |
| 1285050112 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 15235 E 38th Ave, Aurora, CO 80011-1239 | 2014-03-17 |
| 1417387861 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3625 Bear Creek Court, Dallas, TX 75261-0000 | 2013-11-22 |
| 1134462955 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 150 Oak Grove Dr, Mount Sterling, KY 40353-9087 | 2013-03-29 |
| 1942550025 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 1279 S Willow St, Suite E, Manchester, NH 03103-4015 | 2012-09-14 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1467712687 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2301 N University Ave, Lubbock, TX 79415-1717 | 2012-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA | 7401 Church Ranch Blvd Unit 202, Broomfield, CO 80021-5576 |
| Massachusetts Corporations | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA | 5080 Spectrum Drive, 1200 West Tower, Addison, TX 75001 |
| Street Address |
1959 S VAL VISTA ROAD SUITE 106 |
| City | MESA |
| State | AZ |
| Zip Code | 85204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| 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 |
|---|---|---|---|---|
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1700398682 | Advanced Metabolic Testing LLC | Clinic/Center | 1425 S Greenfield Rd Ste 101, Mesa, AZ 85206-5505 | 2017-10-31 |
| 1417349051 | Lifestyle Health and Wellness | Clinic/Center | 65 E 1st Ave, Ste 101, Mesa, AZ 85210-1456 | 2015-02-19 |
| 1225326796 | Marc Community Resources, Inc. | Clinic/Center | 737 W Guadalupe Rd, Suite 123 and Suite 124, Mesa, AZ 85210-7703 | 2011-07-18 |
| 1528366119 | Eden Adult Care Facility, Inc. | Clinic/Center | 216 S 98th Way, Mesa, AZ 85208-1874 | 2011-03-04 |
| 1588992820 | Ernesta Pearl | Clinic/Center | 2836 S 94th St, Mesa, AZ 85212-1412 | 2009-11-25 |
| 1881826766 | Grace Home Health Care, LLC | Clinic/Center | 1930 S Alma School Rd Ste B206, Mesa, AZ 85210-3041 | 2009-08-11 |
| 1699912360 | All Sports Foundation, Inc | Clinic/Center | 322 E Brown Rd Ste 103, Mesa, AZ 85201-3563 | 2009-01-16 |
| 1801044912 | Concentra Health Services, Inc. | Clinic/Center | 1959 S. Val Vista Road, Suite 106, Mesa, AZ 85204 | 2008-09-03 |
| 1982884425 | Harmony Circle Assisted Living | Clinic/Center | 1841 E Harmony Cir, Mesa, AZ 85204-6037 | 2007-11-13 |
| Find all providers in MESA | ||||
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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.