NPIMap

Organization Active NPI

Rosedale Occupational Medical Services

  • Specialist
  • Rosedale, MD
National Provider Identifier
1407007867
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROSEDALE OCCUPATIONAL MEDICAL SERVICES
Practice address
8652 Pulaski Hwy
C
Rosedale, MD 21237-3008
Phone
(410) 780-8111
Fax
(410) 780-8116
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mr. Will Phillips, C.O.O.
Title
Cheif Operating Officer
Phone
(443) 524-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8652 Pulaski Hwy
C
Rosedale, MD 21237-3008

Mailing address

8652 Pulaski Hwy
C
Rosedale, MD 21237-3008
Phone (410) 780-8111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1407007867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8652 PULASKI HWY",
            "address_2": "C",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373008",
            "telephone_number": "410-780-8111",
            "fax_number": "410-780-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 PULASKI HWY",
            "address_2": "C",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373008",
            "telephone_number": "410-780-8111",
            "fax_number": "410-780-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE OCCUPATIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "443-524-2737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.