Healthcare Provider Details

I. General information

NPI: 1679719116
Provider Name (Legal Business Name): OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 FIRESTONE PARKWAY SUITE F
AKRON OH
44301-1655
US

IV. Provider business mailing address

5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 330-724-3345
  • Fax: 330-724-5299
Mailing address:
  • Phone: 800-232-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TOM FOGARTY
Title or Position: SENIOR VP / CHIEF MEDICAL OFFICER
Credential: MD
Phone: 972-364-8103