Organization Active NPI

U.S. Occmed Wisconsin SC

  • Occupational Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1548838253
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
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

Updated by the provider on Jun 17, 2021

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)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Medical Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.