Organization Active NPI

Occupational Medicine of Northwest Ohio

  • Occupational Medicine Clinic/Center
  • Tiffin, OH
National Provider Identifier
1710176334
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
35056832 Issued in OH
Legal business name
OCCUPATIONAL MEDICINE OF NORTHWEST OHIO
Practice address
3101 W US Highway 224
Tiffin, OH 44883-8305
Phone
(419) 448-3820
Fax
(419) 448-3822
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Merris T. Young, MD,FAADEP,FACOEM
Title
Physician/Owner
Phone
(419) 448-3820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 35056832 OH Primary

Addresses

Primary practice location

3101 W US Highway 224
Tiffin, OH 44883-8305

Mailing address

3101 W US Highway 224
Tiffin, OH 44883-8305
Phone (419) 448-3820

Other identifiers 1

IdentifierTypeStateIssuer
1629015482OtherOHINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1710176334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W US HIGHWAY 224",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838305",
            "telephone_number": "419-448-3820",
            "fax_number": "419-448-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W US HIGHWAY 224",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838305",
            "telephone_number": "419-448-3820",
            "fax_number": "419-448-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE OF NORTHWEST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MERRIS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "419-448-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FAADEP,FACOEM"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "OH",
            "license": "35056832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629015482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.