Workwell Occupational Medicine

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

PTL.0011880 Issued in CO

Legal business name

WORKWELL OCCUPATIONAL MEDICINE

Practice address

205 S Main St
Longmont, CO 80501-1716

Phone

(303) 702-1612

NPI assigned

Jun 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Mathwich

Title

MD

Phone

(303) 702-1612

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Grey Peterson, APRN-CNP

  • Family Nurse Practitioner
  • Longmont, CO
  • NPI 1174412746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1003137134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-702-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-702-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKWELL OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "MATHWICH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "303-702-1612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "PTL.0011880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Grace Julie Woodle, M.A., CCC-SLP
• Adam Scott Woodruff, MS
• Ashlyn Woodward
• Chris P Woodward
• J. Taylor Workman, D.D.S.
• Workwell Occupational Medicine
• Jaclyn May Wray, O.D.
• Karen Uhle Wray, LPC, CPC
• Erin Byrnes Wright, PA-C
• Sasha Wynfield

• Occupational Medicine Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Occupational Medicine Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.