Active NPI
Occupational Medicine Associates of Wayne County, Inc
- Occupational Medicine Clinic/Center
- Wooster, OH
National Provider Identifier
1003209347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0957694 | Medpro Group | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Oak Harbor, WA
- NPI 1760787477
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.