NPIMap

Organization Active NPI

Mid-State Occupational Health Services, Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Williamsport, PA
National Provider Identifier
1497896328
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD025258E Issued in PA
Legal business name
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC
Practice address
2605 Reach Rd
Williamsport, PA 17701-4392
Phone
(570) 327-8790
Fax
(570) 321-9504
NPI assigned
Feb 12, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Derrick James Duff
Title
President
Phone
(570) 327-8790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD025258E PA Primary

Addresses

Primary practice location

2605 Reach Rd
Williamsport, PA 17701-4392

Mailing address

2605 Reach Rd
Williamsport, PA 17701-4392
Phone (570) 327-8790

National Provider Directory

National Provider Directory
Tax ID family
Mid-State Occupational Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1497896328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 REACH RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014392",
            "telephone_number": "570-327-8790",
            "fax_number": "570-321-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 REACH RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014392",
            "telephone_number": "570-327-8790",
            "fax_number": "570-321-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE OCCUPATIONAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-327-8790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PA",
            "license": "MD025258E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.