NPIMap

Organization Active NPI

Communitymed Occmed PLLC

  • Occupational Medicine Clinic/Center
  • Melissa, TX
National Provider Identifier
1407407380
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
COMMUNITYMED OCCMED PLLC
Practice address
3591 McKinney St Ste 400
Melissa, TX 75454-9504
Phone
(972) 521-8117
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Dr. Gregory Blomquist
Title
Medical Director
Phone
(972) 521-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

3591 McKinney St Ste 400
Melissa, TX 75454-9504

Mailing address

16775 Addison Rd Ste 200
Addison, TX 75001-5654
Phone (972) 521-8117

National Provider Directory

National Provider Directory

Locations

16775 Addison Rd
Ste 200
Addison, TX 75001
Phone (817) 778-9432

3591 McKinney St
Ste 400
Melissa, TX 75454
Phone (972) 464-1611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1407407380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16775 ADDISON RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015654",
            "telephone_number": "972-521-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST STE 400",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549504",
            "telephone_number": "972-521-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYMED OCCMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BLOMQUIST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-521-8117",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.