Ohio Medical Clinic

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

OHIO MEDICAL CLINIC

Practice address

580 Lincoln Park Blvd Ste 100
Kettering, OH 45429-3490

Phone

(937) 949-1030

Fax

(937) 834-4410

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1922538024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293490",
            "telephone_number": "937-949-1030",
            "fax_number": "937-834-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Obermeyer
• Leigh Obie
• Brooke Marie Obrien, CRNA
• Obstetrics and Gynecology South Inc
• Odyssey Healthcare Operating a, LP (Heartland)
• Ohio Pediatrics, Inc.
• Sheri N Oldham, PTA
• Michelle Olson, OTR/L
• On-Site Physicians LLC
• Stephen Onder, PA

• Rehabilitation Practitioner in Kettering, OH
• Providers in Kettering, OH by specialty
• Rehabilitation Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.