State Road Occupational Medical Facility LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STATE ROAD OCCUPATIONAL MEDICAL FACILITY LLC

Practice address

600 State Rd
Suite 166
Ashtabula, OH 44004-3933

Phone

(440) 992-9521

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald McVoy

Title

Owner/Member

Phone

(440) 992-9521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1346419066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STATE RD",
            "address_2": "SUITE 166",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043933",
            "telephone_number": "440-992-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STATE RD",
            "address_2": "SUITE 166",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043933",
            "telephone_number": "440-992-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE ROAD OCCUPATIONAL MEDICAL FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MCVOY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "440-992-9521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.