OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA (NPI# 1710480363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710480363 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA |
| Other Organization Name | CONCENTRA MEDICAL CENTERS |
| Practice Address |
875 W Layton Ave Milwaukee WI 53221-2426 |
| Mailing Address |
5080 Spectrum Dr Ste 1200w Addison TX 75001-4624 |
| Practice Telephone | 4144893800 |
| Practice Fax Number | 4144893811 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | ROBERT G HASSETT (VP) |
| Authorized Official Telephone | 9723648000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 Centers | 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 |
875 W LAYTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679615280 | Andrew Seter | Specialist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2007-02-12 |
| 1306349949 | American Currenct Care P.a. | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
| 1841740487 | U.S. Healthworks Medical Group of Wisconsin, Sc | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2016-10-06 |
| 1972902328 | Marie Wavrunek | Physical Therapist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2014-08-21 |
| 1932413317 | Abdiel Jose Gaud Irizarry | Physician Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2010-07-28 |
| 1972839330 | Chad Tolbert | Physical Therapist | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2009-10-20 |
| 1376879734 | Scott A Glowacki | Physical Therapy Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2009-10-20 |
| 1013114560 | John M Serrano | Physician Assistant | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| 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 |
|---|---|---|---|---|
| 1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
| 1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| 1518260843 | City of Milwaukee Health Dept | Clinic/Center | 841 N Broadway 3rd Floor, Milwaukee, WI 53202-3639 | 2010-12-08 |
| 1992035869 | Clear Medical Solutions, LLC | Clinic/Center | 1305 N 19th St, Milwaukee, WI 53205-2054 | 2009-12-28 |
| 1114176195 | Concentra Health Services, Inc. | Clinic/Center | 5007 S. Howell Avenue, Milwaukee, WI 53207-6157 | 2008-09-15 |
| 1386774958 | City of Milwaukee Health Department | Clinic/Center | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2007-03-06 |
| 1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
| 1841739026 | Helens Supportive Living | Clinic/Center | 6222 W Capitol Dr Suite 10, Milwaukee, WI 53216 | 2017-02-21 |
| Find all providers in MILWAUKEE | ||||
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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.