Groesbeck Occupational Medical Center

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

21869 Issued in MI

Legal business name

GROESBECK OCCUPATIONAL MEDICAL CENTER

Practice address

30420 Groesbeck Hwy
Roseville, MI 48066-1547

Phone

(586) 775-8400

Fax

(586) 775-6191

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

John A Geralt, MD

Title

Medical Director

Phone

(586) 775-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013074343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30420 GROESBECK HWY",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661547",
            "telephone_number": "586-775-8400",
            "fax_number": "586-775-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30420 GROESBECK HWY",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661547",
            "telephone_number": "586-775-8400",
            "fax_number": "586-775-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROESBECK OCCUPATIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERALT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-775-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "21869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Medicine Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Occupational Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.