COMPREHENSIVE OCCUPATIONAL MED, PHYSICALS, ACAD, & SURVEILLANCE SOL. (NPI# 1073022067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073022067 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE OCCUPATIONAL MED, PHYSICALS, ACAD, & SURVEILLANCE SOL. |
| Other Organization Name | COMPASS OCC MED. |
| Practice Address |
175 Smiley Drive St. Albans WV 25177 |
| Mailing Address |
175 Smiley Dr Saint Albans WV 25177-1503 |
| Practice Telephone | (681) 217-7172 |
| Practice Fax Number | 6812177106 |
| Mailing Telephone | 6812177172 |
| Mailing Fax Number | 6812177106 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | ANITA L CALLICOAT (OWNER & CEO) |
| Authorized Official Telephone | 6812177172 |
| Authorized Official Credential | MSN, NP-C, MS-AT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| COMPASS Occ Med. | Other Name - Individual/Organization |
| Street Address |
175 SMILEY DRIVE |
| City | ST. ALBANS |
| State | WV |
| Zip Code | 25177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| 1255489936 | Amy Dale Casto | Family Medicine | 612 5th St., Saint Albans, WV 25177 | 2007-01-08 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255608386 | St. Mary's Occupational Health Center, LLC | Preventive Medicine | 3012 Champion Dr, Barboursville, WV 25504-9343 | 2011-11-17 |
| 1346543790 | Corporate Health Concepts, Inc | Preventive Medicine | 1831 Martha Rd, Barboursville, WV 25504-9653 | 2010-12-07 |
| 1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
| 1124291471 | Melanie Dawn Pavone | Preventive Medicine | 315 South Main Street, Webster County Board of Education, Webster Springs, WV 26288 | 2008-04-08 |
| 1255533113 | Marco E Melo | Preventive Medicine | 3801 Health Sciences South, Institute Occup & Environm Health, Morgantown, WV 26506-9190 | 2007-06-04 |
| 1013086834 | Marsha Lee Bailey | Preventive Medicine | 1203 Hospital Drive, Suite 1203, Hurricane, WV 25526 | 2006-11-07 |
| 1316058019 | Anna Margaret Allen | Preventive Medicine | 3801 Health Sciences Center South, Morgantown, WV 26506 | 2006-08-31 |
| 1174803027 | Health and Education Building | Preventive Medicine | 390 Birch Street, Morgantown, WV 26506-6894 | 2011-08-24 |
| 1669773107 | Jennifer L Lultschik | Preventive Medicine | 1 Medical Center Dr, Morgantown, WV 26506 | 2010-11-16 |
| 1972766566 | Mohammed I Ranavaya | Preventive Medicine | 1600 Medical Center Dr, Suite 1500, Huntington, WV 25701-3656 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
| City | ST. ALBANS |
| Zip Code | 25177 |
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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.