St. Mary'S Occupational Health Center, LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

ST. MARY'S OCCUPATIONAL HEALTH CENTER, LLC

Practice address

3012 Champion Dr
Barboursville, WV 25504-9343

Phone

(304) 736-8764

Fax

(304) 736-2699

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Tim Parnell

Title

Ceo

Phone

(304) 526-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1255608386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "address_2": "5 E ALVON ROAD SUITE 7",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862373",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 CHAMPION DR",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049343",
            "telephone_number": "304-736-8764",
            "fax_number": "304-736-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S OCCUPATIONAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-526-1234"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayli Sprout
• Amanda Spuduck
• Raeanne Spurlock
• Sarah Nadine Spurlock, LPN
• Logan Sroufe
• Kacey St.Clair
• Brittany Staats
• Shannon Staats
• Melissa Stackpole
• Malenda Stacy

• Occupational Medicine Physician in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Occupational Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.