Organization Active NPI

Cadillac Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Cadillac, MI
National Provider Identifier
1114157120
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CADILLAC OCCUPATIONAL MEDICINE
Practice address
7985 Mackinaw TRL
Ste B1
Cadillac, MI 49601-8111
Phone
(231) 779-5224
Fax
(231) 779-5243
NPI assigned
Jul 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Mrs. Jennifer Carter
Title
Senior Billing Representative
Phone
(231) 935-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

7985 Mackinaw TRL
Ste B1
Cadillac, MI 49601-8111

Mailing address

7985 Mackinaw TRL
Ste B1
Cadillac, MI 49601-8111
Phone (231) 779-5224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1114157120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7985 MACKINAW TRL",
            "address_2": "STE B1",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018111",
            "telephone_number": "231-779-5224",
            "fax_number": "231-779-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 MACKINAW TRL",
            "address_2": "STE B1",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018111",
            "telephone_number": "231-779-5224",
            "fax_number": "231-779-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SENIOR BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "231-935-9189",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.