Organization Active NPI

Occupational Medicine Associates of Wayne County, Inc

  • Occupational Medicine Clinic/Center
  • Wooster, OH
National Provider Identifier
1003209347
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
OCCUPATIONAL MEDICINE ASSOCIATES OF WAYNE COUNTY, INC
Practice address
2201 Benden Dr
Wooster, OH 44691-5355
Phone
(330) 263-7270
Fax
(330) 263-7283
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. Jeffrey A Vandorsten, CPA
Title
President
Phone
(330) 263-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2201 Benden Dr
Wooster, OH 44691-5355

Mailing address

2201 Benden Dr
Wooster, OH 44691-5355
Phone (330) 263-7270

Other names 1

  • MedPro Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0957694Medpro Group2201 Benden Drive, Wooster, OH 44691Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

2201 Benden Dr
Wooster, OH 44691
Phone (330) 263-7270

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1003209347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BENDEN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915355",
            "telephone_number": "330-263-7270",
            "fax_number": "330-263-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BENDEN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915355",
            "telephone_number": "330-263-7270",
            "fax_number": "330-263-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE ASSOCIATES OF WAYNE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "VANDORSTEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-263-7270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPro Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.