Ocoee Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OCOEE MEDICAL LLC

Practice address

4220 Ocoee St N
Cleveland, TN 37312-4829

Phone

(423) 479-4220

Fax

(423) 339-0294

NPI assigned

Jan 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Otis Brandon Forrester, D.C.

Title

President

Phone

(423) 479-4220

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1669861373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-479-4220",
            "fax_number": "423-339-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-479-4220",
            "fax_number": "423-339-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-479-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocoee Counseling Services, PLLC
• Ocoee Dental Care PLLC
• Ocoee Eye Center, PLLC
• Ocoee Hospital Corporation (Bradley Memorial Hospital)
• Ocoee Hospital Corporation (Bradley Memorial Hospital)
• Ocoee OB/GYN, PC
• Ocoee Oral Surgery PC
• Ocoee Pediatrics of Cleveland, PC
• Ocoee Physical Therapy, Inc.
• Ocoee Professional Pharmacy LLC (Ocoee Professional Pharmacy)

• General Practice Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.