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
Last updated
Oct 19, 2007By the provider in NPPES
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,FACOEMNPI 1629015482
Title
Physician/Owner
Phone
(419) 448-3820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.