Organization Active NPI

Occupational Medicine, Inc.

  • Exclusive Provider Organization
  • Lavalette, WV
National Provider Identifier
1255340758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
18116 Issued in WV
Legal business name
OCCUPATIONAL MEDICINE, INC.
Practice address
4552 Route 152
Lavalette, WV 25535-1180
Phone
(304) 522-7268
Fax
(304) 525-5539
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul W. Craig II, M.D.
Title
Owner
Phone
(304) 522-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 18116 WV Primary

Addresses

Primary practice location

4552 Route 152
Lavalette, WV 25535-1180

Mailing address

PO Box 1180
Lavalette, WV 25535-1180
Phone (304) 522-7268

Other identifiers 1

IdentifierTypeStateIssuer
1558328179OtherWVINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255340758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255351180",
            "telephone_number": "304-522-7268",
            "fax_number": "304-525-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255351180",
            "telephone_number": "304-522-7268",
            "fax_number": "304-525-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-522-7268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WV",
            "license": "18116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1558328179",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavalette, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.