Occupational Medicine Consultants, LTD

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

OCCUPATIONAL MEDICINE CONSULTANTS, LTD

Practice address

6515 Barrie Road
Suite 150
Edina, MN 55435

Phone

(952) 920-5663

Fax

(952) 928-9006

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C Jetzer, MDNPI 1043303860

Title

President

Phone

(952) 920-5663

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Carl Jetzer, MD MPH

  • Occupational Medicine Physician
  • Edina, MN
  • NPI 1043303860
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962624437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553560380",
            "telephone_number": "952-920-5663",
            "fax_number": "952-928-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 BARRIE ROAD",
            "address_2": "SUITE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-920-5663",
            "fax_number": "952-928-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JETZER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Robert Obaid, M.D.
• Katherine Eileen Obermire, MD
• Taylor Oberpriller
• Obstetrics and Gynecology Associates, P.a.
• Obstetrics, Gynecology & Infertilitiy, PA
• Ocean Waves Massage & 02 Lounge
• Maureen Carol Ochsner, APNP
• John Oconnell, M.D.
• Kevin A Oconnor, M.D.
• Guy Mark Odishaw, CMT

• Occupational Medicine Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Occupational Medicine Clinic/Center in Minnesota

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.