Organization Active NPI

Occupational Medicine Physicians

  • Occupational Medicine Physician
  • New Albany, IN
National Provider Identifier
1093909640
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
OCCUPATIONAL MEDICINE PHYSICIANS
Practice address
3605 Northgate CT
Suite 110
New Albany, IN 47150-6400
Phone
(812) 949-5749
Fax
(812) 949-5794
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Shelley Preocanin
Title
Practice Operations Manager
Phone
(812) 754-1900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X
Occupational Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

3605 Northgate CT
Suite 110
New Albany, IN 47150-6400

Mailing address

3605 Northgate CT
Suite 110
New Albany, IN 47150-6400
Phone (812) 949-5749

National Provider Directory

National Provider Directory
Tax ID family
Occupational Medicine Physicians3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1093909640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NORTHGATE CT",
            "address_2": "SUITE 110",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506400",
            "telephone_number": "812-949-5749",
            "fax_number": "812-949-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NORTHGATE CT",
            "address_2": "SUITE 110",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506400",
            "telephone_number": "812-949-5749",
            "fax_number": "812-949-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "PREOCANIN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRACTICE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "812-754-1900"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.