Carroll Occupational Health, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

CARROLL OCCUPATIONAL HEALTH, LLC

Practice address

700B Corporate Center CT Ste a
Westminster, MD 21157-3035

Phone

(410) 871-0470

Fax

(410) 871-0743

NPI assigned

Nov 10, 2020

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Lamont Kehler, PA-C

  • Medical Physician Assistant
  • Westminster, MD
  • NPI 1154340891
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

Authorized official

Name

Mrs. Lisa Degitz

Title

Operations Manager

Phone

(240) 566-3258

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1568064079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37581",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973581",
            "telephone_number": "240-566-3011",
            "fax_number": "240-566-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700B CORPORATE CENTER CT STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573035",
            "telephone_number": "410-871-0470",
            "fax_number": "410-871-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL OCCUPATIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "DEGITZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "240-566-3258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://corpohs-web.corpohs.com/Login.aspx",
            "affiliation": "N",
            "endpointDescription": "Employer Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Employer Portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "700B Corporate Center Ct Ste A",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211573035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carroll Internal Medicine Associates LLC
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• Carroll Neurosurgical Associates
• Carroll OBGYN Associates, LTD
• Carroll Orthopaedic Specialists
• Carroll Precision Imaging Center
• Carroll Regional Cancer Center Physicians, LLC
• Carroll Regional Cancer Center Physicians, LLC
• Carroll Urology Associates

• All providers in Westminster, MD
• Occupational Medicine Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.