Online Care Group PA-PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ONLINE CARE GROUP PA-PC

Practice address

90 Maryland Ave
West Mifflin, PA 15122-4043

Phone

(540) 769-7891

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By 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

Bradford Gray

Title

SVP

Phone

(617) 204-3544

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1801574181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "EAST ARLINGTON",
            "state": "MA",
            "postal_code": "024740020",
            "telephone_number": "540-769-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MARYLAND AVE",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151224043",
            "telephone_number": "540-769-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLINE CARE GROUP PA-PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "617-204-3544"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Nichols
• Jonathan E. Noonan, M.D.
• Not Forgotten Home and Community Services
• Marilyn Jean Obiecunas, RD, CDE, LDN
• Charnese Oliver, CRNP, FNP-C
• Christopher Gutierrez Ozaeta, CHRIS OZAETA, LPT
• Evelyn R Ozaeta, LPT
• Nicole Marie Padden, RPH
• Sheila Paig, R.D.H., P.H.D.H.P.
• Mamta Patel

• Urgent Care Clinic/Center in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.