Organization Active NPI

Occupational & Preventive Medicine Services

  • Occupational Medicine Clinic/Center
  • Leavenworth, KS
National Provider Identifier
1194967778
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
0431475 Issued in KS
Legal business name
OCCUPATIONAL & PREVENTIVE MEDICINE SERVICES
Practice address
920 6TH Ave
Medical Arts Building
Leavenworth, KS 66048-3225
Phone
(913) 682-7225
Fax
(913) 651-2007
NPI assigned
Mar 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Authorized official

Name
Cong Zhao, MD
Title
Medical Director
Phone
(913) 787-1423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0431475 KS
Occupational Medicine Clinic/Center 261QX0100X 0431475 KS Primary

Addresses

Primary practice location

920 6TH Ave
Medical Arts Building
Leavenworth, KS 66048-3225

Mailing address

16815 W 84TH St
Lenexa, KS 66219-8057
Phone (913) 787-1423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1194967778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16815 W 84TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662198057",
            "telephone_number": "913-787-1423",
            "fax_number": "913-322-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 6TH AVE",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483225",
            "telephone_number": "913-682-7225",
            "fax_number": "913-651-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL & PREVENTIVE MEDICINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "CONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-787-1423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "0431475",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "KS",
            "license": "0431475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.