Occupational Medicine of the Northeast, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

027429 Issued in CT

Legal business name

OCCUPATIONAL MEDICINE OF THE NORTHEAST, LLC

Doing business as

The Doctors Treatment Center

Practice address

240 East St
Plainville, CT 06062-2935

Phone

(860) 747-4541

Fax

(860) 793-1218

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Kei, M.D.

Title

Member

Phone

(860) 747-4541

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Doctors Treatment Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Hagedorn, MD

  • Emergency Medicine Physician
  • Plainville, CT
  • NPI 1972617827
  NPD (past)

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1699099630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622935",
            "telephone_number": "860-747-4541",
            "fax_number": "860-793-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622935",
            "telephone_number": "860-747-4541",
            "fax_number": "860-793-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE OF THE NORTHEAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "KEI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-747-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "027429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D100021321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doctors Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantelle Norville, LMSW
• Marcela Nunez, BCBA
• David W Nuttall, DDS
• Danielle O'Brien, APRN
• Vanessa Anne O'Donnell, DPT
• Vanessa Odea
• Nicole Elizabeth Oelfke
• Leslie Cheryl Offenbach, MA
• Danika Okasia
• Karen Ann Okoski

• Urgent Care Clinic/Center in Plainville, CT
• Providers in Plainville, CT by specialty
• Urgent Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.