Occutran Treatment Center, PLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

39598 Issued in TN

Legal business name

OCCUTRAN TREATMENT CENTER, PLC

Practice address

174 Murray Guard Dr
Suite D
Jackson, TN 38305-3742

Phone

(731) 660-4916

Fax

(731) 660-6759

NPI assigned

Feb 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin Wren, M.D.

Title

Medical Director and Ceo

Phone

(731) 660-4916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "731-660-4916",
            "fax_number": "731-660-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "731-660-4916",
            "fax_number": "731-660-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUTRAN TREATMENT CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND CEO",
        "authorized_official_telephone_number": "731-660-4916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TN",
            "license": "39598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maame Obeng
• Erin Elizabeth Oberg, MD
• Nancy E Oberg, PT
• Obhg Tennessee, P.C.
• Patricia Renee Obi, MD
• Osayawe Nosayaba Odeh, MD
• Satish K Odhav, M.D.
• Adewale Adeyinka Odukoya, MD
• Kelly K Odum, LCSW
• Francis Fensi Ofori, MD

• Preventive Medicine/Occupational Environmental Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Tennessee

• 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.