Johnson Occupational Medicine Center

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

JOHNSON OCCUPATIONAL MEDICINE CENTER

Practice address

3 Weymouth Rd
Enfield, CT 06083-1153

Phone

(860) 763-7668

Fax

(860) 763-7676

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Erdil, M.D.

Title

Medical Director

Phone

(860) 763-7668

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Johnson Health Care Inc Dba Johnson Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson Health Care, Inc. Dba Johnson Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Enfield, CT
  • NPI 1255338232
  NPD tax ID

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740314061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "address_2": "3 WEYMOUTH ROAD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060831153",
            "telephone_number": "860-763-7668",
            "fax_number": "860-763-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEYMOUTH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060831153",
            "telephone_number": "860-763-7668",
            "fax_number": "860-763-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON OCCUPATIONAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERDIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-763-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010023596CT11",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "010245",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU7369",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V4744",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3015101",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3201009",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JLM Speech-Language Services, Inc.
• Jennifer Jobert, M.ED LPC
• Lisa Marie Johanns, LPC
• John Paul Reheis, MD LLC
• Johnson Health Care, Inc. Dba Johnson Surgery Center
• Kimberly Johnson
• Matthew Johnson
• Michelle Johnson
• Thomas V Johnson, DPM
• Suzanne Jolissaint

• Occupational Medicine Clinic/Center in Enfield, CT
• Providers in Enfield, CT by specialty
• Occupational Medicine Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.