Provider Demographics
NPI:1679719116
Name:OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.
Entity type:Organization
Organization Name:OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP / CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-364-8103
Mailing Address - Street 1:5080 SPECTRUM DRIVE
Mailing Address - Street 2:SUITE 1200 WEST TOWER
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4648
Mailing Address - Country:US
Mailing Address - Phone:800-232-3550
Mailing Address - Fax:
Practice Address - Street 1:1450 FIRESTONE PARKWAY
Practice Address - Street 2:SUITE F
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1655
Practice Address - Country:US
Practice Address - Phone:330-724-3345
Practice Address - Fax:330-724-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine