Proactive Immediate Care Clinic, LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

PROACTIVE IMMEDIATE CARE CLINIC, LLC

Practice address

1661 State Route 522 Unit 2
Wheelersburg, OH 45694-8120

Phone

(740) 574-8728

Fax

(740) 574-8918

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey Brown

Title

Owner

Phone

(740) 574-8728

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1861040099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-8728",
            "fax_number": "740-574-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-8728",
            "fax_number": "740-574-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE IMMEDIATE CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-574-8728"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gayle Porter
• April Porter
• Linda Paulene Powell, LPN
• John L Prather
• Premier Therapy & Health Centers, Inc.
• Proactive Occupational Medicine, Inc. (Brown Medical Services)
• Prof Care Phcy of Wheelersburg
• David Gerard Provaznik, DO
• Brenda Suzette Ramey
• James P Ramey

• Occupational Medicine Physician in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Occupational Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.