NPIMap

Organization Active NPI

American Current Care of Ohio PA Co

Doing business as Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Cleveland, OH
National Provider Identifier
1417130618
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMERICAN CURRENT CARE OF OHIO PA CO
Doing business as
Concentra Urgent Care
Practice address
5500 S. Marginal Road
Cleveland, OH 44103-1072
Phone
(216) 426-9020
Fax
(216) 426-9025
NPI assigned
Dec 11, 2007
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. John Anderson, DO
Title
Senior VP / Chief Medical Officer
Phone
(972) 364-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5500 S. Marginal Road
Cleveland, OH 44103-1072

Mailing address

5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 720-7772

Other names 1

  • Concentra Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091006000303 OH Part B Supplier - Clinic/Group Practice 0042356073 Receives reassigned benefits from 55 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, OH; Groveport, OH; Holland, OH; Huber Heights, OH; Oakwood Village, OH; Oregon, OH; Vandalia, OH; Canton, OH…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1000926Concentra Urgent Care5500 S Marginal Rd, Cleveland, OH 44103Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
American Current Care of Ohio PA Co30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

5500 S Marginal Rd
Cleveland, OH 44103
Phone (216) 221-7588

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1417130618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-720-7772",
            "fax_number": "214-775-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S. MARGINAL ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031072",
            "telephone_number": "216-426-9020",
            "fax_number": "216-426-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CURRENT CARE OF OHIO PA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SENIOR VP / CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concentra Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.