NPIMap

Organization Active NPI

Concentra Medical Center -- Canton

  • Occupational Medicine Clinic/Center
  • Canton, MI
National Provider Identifier
1114117447
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CONCENTRA MEDICAL CENTER -- CANTON
Practice address
1600 S Canton Center Rd
Suite 140
Canton, MI 48188-1992
Phone
(734) 398-7550
NPI assigned
Aug 1, 2007
Organization subpart
Yes
Parent organization
OCCUPATIONAL HEALTH CENTERS OF MICHIGAN, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. W. Tom Fogarty, M.D.
Title
Chief Medical Offider
Phone
(972) 364-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

1600 S Canton Center Rd
Suite 140
Canton, MI 48188-1992

Mailing address

PO Box 5106
Southfield, MI 48086-5106

National Provider Directory

National Provider Directory
Tax ID family
Occupational Health Centers of Michigan PC23 organizations share this tax ID, including this one
Part of
Occupational Health Centers of Michigan PC

Other organizations with this tax ID 22

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

View all 22

Locations

1600 S Canton Center Rd
Ste 140
Canton, MI 48188
Phone (734) 398-7550

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1114117447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480865106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "address_2": "SUITE 140",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881992",
            "telephone_number": "734-398-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA MEDICAL CENTER -- CANTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCCUPATIONAL HEALTH CENTERS OF MICHIGAN, P.C.",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFIDER",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.