Organization
OCCUMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MARTIN (VP & COO)
(304) 526-2052
Entity
Organization
Contact information
Practice address
2 STONECREST DR, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165
Mailing address
2 STONECREST DR, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
005812
WV
261QU0200X
Urgent Care Clinic/Center
Primary
2017-9518
WV
261QX0100X
Occupational Medicine Clinic/Center
005812
WV
261QX0100X
Occupational Medicine Clinic/Center
2017-9518
WV
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639289937
—
WV
05
—
2643689
—
OH
05
—
3810006253
—
WV
01
—
7100053990
KY MEDICAID DO/MD
KY
01
—
7100350570
KY MEDICAID NP
KY
01
—
7100387040
KY MEDICAID PA
KY
Enumeration date
08/30/2006
Last updated
05/16/2025
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