Oak Ridge Medical Clinic, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD5413 Issued in TN

Legal business name

OAK RIDGE MEDICAL CLINIC, P.C.

Practice address

170 West Tennessee Avenue
Oak Ridge, TN 37830

Phone

(865) 483-7411

Fax

(865) 483-7413

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Helen A. Vodopick-Goswitz, M.D.

Title

Physician

Phone

(865) 483-7411

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1285838177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WEST TENNESSEE AVENUE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-7411",
            "fax_number": "865-483-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WEST TENNESSEE AVENUE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-483-7411",
            "fax_number": "865-483-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "VODOPICK-GOSWITZ",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "865-483-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD5413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD5413",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374883",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Rose O'Hearn
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• Oak Ridge Clinical Services LLC
• Oak Ridge Endodontics
• Oak Ridge Gastroenterology Associates, PC
• Oak Ridge Medical Imaging
• Oak Ridge Optical Dispensary
• Oak Ridge Pharmacy
• Oak Ridge Pharmacy
• Oak Ridge Radiation Oncology P LLC

• Medical Specialty Clinic/Center in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.