Omed Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MSG000382 Issued in PA

Legal business name

OMED INC.

Practice address

146 Azalea Dr
East Stroudsburg, PA 18301-7706

Phone

(570) 476-4317

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Derek Anthony Oliver, LMT

Title

Proprietor

Phone

(570) 476-4317

Specialties & licenses 1

Addresses

Other names 1

• Great Day Massage Works Doing business as

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1518325877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 AZALEA DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017706",
            "telephone_number": "570-476-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 AZALEA DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017706",
            "telephone_number": "570-476-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "570-476-4317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MSG000382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Day Massage Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Monique Oke
• Oludamilola Olatunde Oke
• Toyin Oke
• Ephraim Oliver, LMT
• Marcello Oliveri, DPT
• Jailene Ortiz-Gordils
• Hannah Oswald
• Matthew D Ottinger, CRNP
• Andrew James Oxenreider, ATC
• PA Treatment & Healing

• Non-Pharmacy Dispensing Site in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.