Workers' Compensation Medical Consulting, LC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

R9N85 Issued in MO

Legal business name

WORKERS' COMPENSATION MEDICAL CONSULTING, LC

Practice address

2638 Highway 109
Suite 101
Wildwood, MO 63040-1161

Phone

(636) 730-3177

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Mary Ann Hollman, MD, MS, CIME

Title

President

Phone

(636) 730-3177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1235395724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16282 AUDUBON VILLAGE DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401710",
            "telephone_number": "314-302-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 HIGHWAY 109",
            "address_2": "SUITE 101",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401161",
            "telephone_number": "636-730-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKERS' COMPENSATION MEDICAL CONSULTING, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HOLLMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-730-3177",
        "authorized_official_credential": "MD, MS, CIME"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MO",
            "license": "R9N85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Ruth Williams, RPH
• Katherine P Williams, MSW, LCSW
• Devin R Willis, MD
• Kelly Lynn Wittenauer, M.S. SLP
• Danae Marie Wollberg, MOTR/L
• Michelle Tiffany Wright, DNP, APRN, FNP-C
• Your Village STL LLC
• Vicki L Zeiser, RN
• Steven C Zenisek, M.D.
• Diane Zoeller, MS

• Occupational Medicine Clinic/Center in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Occupational Medicine Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.