Active NPI
Occupatient Medical Services, P.C.
- Internal Medicine Physician
- Hermitage, TN
National Provider Identifier
1639360860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD19042
- Legal business name
- OCCUPATIENT MEDICAL SERVICES, P.C.
- Practice address
- 5651 Frist Boulevard
Suite 306
Hermitage, TN 37076 - Phone
- (615) 316-0100
- Fax
- (615) 872-0088
- NPI assigned
- Aug 5, 2007
- 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
- Dr. Renata Elizabeth Bluhm, MD, PHD
- Title
- President
- Phone
- (615) 316-0100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD19042 | TN | Primary |
| Occupational Medicine Physician | 2083X0100X | MD19042 | TN |
Addresses
Primary practice location
5651 Frist Boulevard
Suite 306
Hermitage, TN 37076
Mailing address
5651 Frist Boulevard
Suite 306
Hermitage, TN 37076
Phone (615) 316-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3036293 | Medicaid | TN | |
| 150738 | Other | BLUE CROSS BLUE SHIELD | |
| 3036293 | Other | MEDICARE LEGACY #3036293 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1639360860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 FRIST BOULEVARD",
"address_2": "SUITE 306",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-316-0100",
"fax_number": "615-872-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 FRIST BOULEVARD",
"address_2": "SUITE 306",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-316-0100",
"fax_number": "615-872-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUPATIENT MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "BLUHM",
"authorized_official_first_name": "RENATA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-316-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD19042",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TN",
"license": "MD19042",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3036293",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "150738",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY #3036293",
"identifier": "3036293",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.