Organization Active NPI

Occmed Consulting & Injury Care, LLC

Doing business as OccMedCIC,LLC

  • Occupational Medicine Physician
  • Boston, MA
National Provider Identifier
1568837250
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
75679 Issued in MA
Legal business name
OCCMED CONSULTING & INJURY CARE, LLC
Doing business as
OccMedCIC,LLC
Practice address
30 Lancaster St
2ND Floor
Boston, MA 02114-1704
Phone
(617) 314-2018
NPI assigned
Dec 6, 2015
Last updated
Dec 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
John William Burress, MD, MPH
Title
Principle
Phone
(617) 314-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 75679 MA Primary

Addresses

Primary practice location

30 Lancaster St
2ND Floor
Boston, MA 02114-1704

Mailing address

30 Lancaster St
2ND Floor
Boston, MA 02114-1704
Phone (617) 314-2018

Other names 1

  • OccMedCIC,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

30 Lancaster St
Fl 2
Boston, MA 02114
Phone (617) 227-9300

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1568837250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "address_2": "2ND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-314-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "address_2": "2ND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-314-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCMED CONSULTING & INJURY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "BURRESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "617-314-2018",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MA",
            "license": "75679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OccMedCIC,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.