Tcoh PC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

TCOH PC

Practice address

2520 Pilot Knob Rd
Mendota Heights, MN 55120-1137

Phone

(651) 224-8264

NPI assigned

Aug 1, 2006

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice K Baverty

Title

Clinic Administrator

Phone

(651) 224-8264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1154337913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201137",
            "telephone_number": "651-224-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCOH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BAVERTY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-224-8264"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Swanson
• Justin W Swanson, LICSW
• Thaine Swirtz
• Ken Julian Takekoshi, M.D.
• Natalie Angela Tangness
• Selena Kae Terrazas
• Acacia Lynn Terzich
• Girma Mulugeta Teumelissan
• PA Chia Thao
• The Lazarus Project (The Children's Autism Rehabilitation Education,)

• Occupational Medicine Clinic/Center in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Occupational Medicine Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.