OCCUPATIONAL MEDICINE CONSULTANTS, LTD (NPI# 1962624437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962624437 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL MEDICINE CONSULTANTS, LTD |
| Practice Address |
6515 Barrie Road Suite 150 Edina MN 55435 |
| Mailing Address |
Po Box 380 Long Lake MN 55356-0380 |
| Practice Telephone | 9529205663 |
| Practice Fax Number | 9529289006 |
| Mailing Telephone | 9529205663 |
| Mailing Fax Number | 9529289006 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS C JETZER (PRESIDENT) |
| Authorized Official Telephone | 9529205663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
6515 BARRIE ROAD SUITE 150 |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096922 | Fairview Express Care | Clinic/Center | 6545 France Ave S, Ste 450, Edina, MN 55435-2131 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099026 | Sanford Clinic North | Clinic/Center | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2016-05-02 |
| 1396045597 | Twin Cities Occupational Health and Rehabilitation | Clinic/Center | 2520 Pilot Knob Road, Suite 250, Mendota Heights, MN 55120-1137 | 2010-10-22 |
| 1770780876 | Twin Cities Occupational Health and Rehabilitation | Clinic/Center | 10190 Baltimore Street North East, Suite 100, Blaine, MN 55449 | 2007-07-02 |
| 1609134832 | Occupational Medicine Clinic | Clinic/Center | 325 33rd Ave N, Suite 110, Saint Cloud, MN 56303-3041 | 2012-04-25 |
| 1427371285 | Health Activation Services, Pllc | Clinic/Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 | 2010-03-09 |
| 1053649632 | Health Activation Services, Pllc | Clinic/Center | 4080 W Broadway Ave, #200, Robbinsdale, MN 55422-5604 | 2009-11-19 |
| 1902035603 | Health Activation Services, Pllc | Clinic/Center | 7550 34th Ave S, Minneapolis, MN 55450-1124 | 2009-07-02 |
| 1275684128 | Summit Orthopedics, Ltd. | Clinic/Center | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7633 | 2007-01-16 |
| 1154337913 | Tcoh PC | Clinic/Center | 2520 Pilot Knob Rd, Mendota Heights, MN 55120-1137 | 2006-08-01 |
| 1043236896 | Minnesota Spine Rehab, Inc | Clinic/Center | 360 Sherman St, Suite 470, Saint Paul, MN 55102-2564 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
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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.