NPIMap

Organization Active NPI

Occupational Health Centers of the Southwest, P.a.

Doing business as dba, Concentra Medical Centers

  • Health Service Clinic/Center
  • Portland, ME
National Provider Identifier
1649434168
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.
Doing business as
dba, Concentra Medical Centers
Practice address
54 Saint John St
Portland, ME 04102-3018
Phone
(207) 541-2869
Fax
(207) 317-8269
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Tom Fogarty, MD
Title
Evp, Cmo
Phone
(800) 232-3550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

54 Saint John St
Portland, ME 04102-3018

Mailing address

5080 Spectrum Dr
1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550

Other names 1

  • dba, Concentra Medical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Occupational Health Centers of the Southwest PA Me599 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

54 Saint John St
Portland, ME 04102
Phone (207) 541-2869

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1649434168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SAINT JOHN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023018",
            "telephone_number": "207-541-2869",
            "fax_number": "207-317-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EVP, CMO",
        "authorized_official_telephone_number": "800-232-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba, Concentra Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.