Organization Active NPI

Occumed - Onsite, LLC

  • Clinic/Center
  • McKinney, TX
National Provider Identifier
1336887181
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OCCUMED - ONSITE, LLC
Practice address
1329 Millwood Rd
McKinney, TX 75069-7157
Phone
(972) 494-1419
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Matthew Middlebrook
Title
Director of Finance
Phone
(972) 494-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1329 Millwood Rd
McKinney, TX 75069-7157

Mailing address

2046 Forest LN Ste 180
Garland, TX 75042-7939
Phone (972) 494-1419

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mmiddlebrook@occumedplus.com

National Provider Directory

National Provider Directory
Tax ID family
Occumed - Onsite LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1329 Millwood Rd
McKinney, TX 75069
Phone (972) 494-1419

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1336887181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 FOREST LN STE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427939",
            "telephone_number": "972-494-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 MILLWOOD RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697157",
            "telephone_number": "972-494-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED - ONSITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "972-494-1419"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmiddlebrook@occumedplus.com",
            "affiliation": "N",
            "address_1": "2046 Forest Ln Ste 180",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750427939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.