Occupational Medicine Clinic

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

16374 Issued in MN

Legal business name

OCCUPATIONAL MEDICINE CLINIC

Practice address

325 33Rd Ave N
Suite 110
Saint Cloud, MN 56303-3041

Phone

(320) 251-3666

NPI assigned

Apr 25, 2012

Last updated

Apr 25, 2012By 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

David Michael Van Nostrand, MD

Title

Owner

Phone

(320) 251-3666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1609134832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N",
            "address_2": "SUITE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033041",
            "telephone_number": "320-251-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N",
            "address_2": "SUITE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033041",
            "telephone_number": "320-251-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "VAN NOSTRAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-251-3666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MN",
            "license": "16374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dacia Kay Oberhelman, PHD
• Justice Obimpeh
• Heather Joy Oborn, MSW, LICSW
• Faith Obot
• Jesse Robert Obright, PHARMD
• Odam Medical Group
• Kimberley Diana Odegaard
• Christopher Odens
• Patrick Wayne Odens, MD
• Adewale O Odofin, M.D

• Occupational Medicine Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Occupational Medicine Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.