Direct Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DIRECT MEDICAL PLLC

Practice address

22150 Greenfield Rd
Suite 203
Oak Park, MI 48237-2535

Phone

(248) 246-0533

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Suzanne Osantowski, LPN

Title

Owner/Nurse

Phone

(248) 246-0533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1053672923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-246-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22150 GREENFIELD RD",
            "address_2": "SUITE 203",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372535",
            "telephone_number": "248-246-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "OSANTOWSKI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/NURSE",
        "authorized_official_telephone_number": "248-246-0533",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.