Corporate Occupational Health PC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

CORPORATE OCCUPATIONAL HEALTH PC

Practice address

3501 Lake Eastbrook Blvd SE Ste 144
Grand Rapids, MI 49546-5939

Phone

(616) 340-0936

NPI assigned

Oct 2, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ilka, MD

Title

Owner, MD

Phone

(616) 285-2728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1538766639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 144",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465939",
            "telephone_number": "616-340-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 144",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465939",
            "telephone_number": "616-340-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE OCCUPATIONAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "ILKA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "616-285-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Cornell, LMSW
• Claire Cornelus, PA-C
• Cornerstone University Health Services
• Lauren Ann Cornillie, NP
• Dawn T Corona, MA
• Lenair Marie Correll, LMSW
• Pamela Sue Correll, OTR
• Joshua Michael Corriveau, MD
• Joshua Paul Corsi, MA, TLLP
• Stacey Corson, NP

• Preventive Medicine/Occupational Environmental Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.