Occumedica LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD050655L Issued in PA

Legal business name

OCCUMEDICA LLC

Practice address

3939 W Ridge Rd
Suite A200
Erie, PA 16506-1879

Phone

(814) 835-8935

Fax

(814) 835-8408

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Lultschik, MD

Title

President

Phone

(814) 835-8935

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1386019057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD",
            "address_2": "SUITE A200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-835-8935",
            "fax_number": "814-835-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD",
            "address_2": "SUITE A200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-835-8935",
            "fax_number": "814-835-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMEDICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "LULTSCHIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-835-8935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "MD050655L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND. NO.",
            "identifier": "199632",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS",
            "identifier": "30180152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH",
            "identifier": "416488",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "3077237",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102546321 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• OB-GYN Associates of Erie, PC
• Thomas Leo Obenreder, D.O.
• Courtney Oblinski, LPC
• Lynn M Oborski, M.S., NCC, LPC
• Abner Ocasio-Acevedo
• Occupational Health Centers of the Southwest, P.a. (PA)
• Miranda Sue Ochs, PHARMD
• Ann L. Odom, LPC
• Cori Michaela Odwak, MD
• Takuya Ogami, M.D.

• Occupational Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.