Active NPI
U.S. Occmed Wisconsin SC
- Occupational Medicine Physician
- Milwaukee, WI
National Provider Identifier
1548838253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- U.S. OCCMED WISCONSIN SC
- Practice address
- 4868 S 6TH St Ste 460
Milwaukee, WI 53221-2462 - Phone
- (414) 260-8282
- NPI assigned
- Jun 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Shoucair, DO
- Title
- President
- Phone
- (713) 880-4400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
4868 S 6TH St Ste 460
Milwaukee, WI 53221-2462
Mailing address
2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Other names 1
- NOVA MEDICAL CENTERS
National Provider Directory
National Provider Directory- Tax ID family
- Nova Medical Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Milwaukee, WI
- NPI 1588236764
Locations
2425 Fountain View Dr
Ste 160
Houston, TX 77057
Phone (713) 880-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623888000000",
"number": "1548838253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 FOUNTAIN VIEW DR STE 160",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4868 S 6TH ST STE 460",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212462",
"telephone_number": "414-260-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U.S. OCCMED WISCONSIN SC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "SHOUCAIR",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-880-4400",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOVA MEDICAL CENTERS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.